土耳其社区获得性尿路感染病原体的多药性耐药性:多中心前性观察性研究
İrfan Şencan1, Oğuz Karabay2, Fatma Aybala Altay3
1Department of Infectious Diseases and Clinical Microbiology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, University of Health Sciences, Ankara, Turkey.
Turkish journal of medical sciences
|July 21, 2023
概括
多种药物耐药性 (MDR) 影响了土耳其超过三分之一的社区获得性尿路感染 (CAUTIs). 诸如男性性别和年龄较大等危险因素增加了MDR风险,需要谨慎的抗生素管理.
科学领域:
- 医学微生物学 医学微生物学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在社区获得的尿路感染 (CAUTIs) 构成了重大的公共卫生挑战.
- 了解多重耐药性 (MDR) 模式对于有效治疗CAUTIs至关重要.
研究的目的:
- 在土耳其各地的CAUTI隔离物中确定全国范围的MDR率.
- 在CAUTI中识别与MDR相关的风险因素.
- 为优化治疗选择和抗生素管理提供数据.
主要方法:
- 分析了来自12个NUTS地区的20个中心的1588个社区获得的隔离物 (2019年3月至2020年3月).
- 细菌物种的识别,主要是大肠杆菌和Klebsiella spp.
- 统计分析以将患者因素 (性别,年龄,风险因素) 与MDR相关联.
主要成果:
- 在CAUTI样本中,整体MDR率为36.1%.
- 在Klebsiella spp.中,MDR是普遍存在的. (57.2%) 和大肠杆菌 (35.7%).
- 男性性别,晚年和多种风险因素与MDR显著相关 (p < 0.001).
结论:
- 在门诊环境中,建议在尿液培养之前对个体风险因素进行评估.
- 定期监测CAUTI耐药性模式至关重要.
- 加强抗生素管理计划对于在CAUTIs中管理MDR至关重要.
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