在公共医院评估与医疗相关的感染:一项跨部门研究
Daniela Iancu1, Iuliu Moldovan2, Brîndușa Țilea3
1Doctoral School, University of Medicine, Pharmacy, Sciences and Technology George Emil Palade of Tîrgu Mureș, 540141 Târgu Mureș, Romania.
Antibiotics (Basel, Switzerland)
|December 23, 2023
概括
医院感染 (HAI) 是一个不断增长的威胁,特别是耐药细菌. 这项研究发现,COVID-19期间HAI的Clostridioides difficile增加,这强调了医院需要谨慎管理抗生素的必要性.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 医院感染 (HAI) 是一个显著且不断升级的全球公共卫生问题.
- 越来越多的抗药性细菌菌株的流行使治疗变得复杂,并加剧了HAI的威胁.
- 本研究的重点是分析县级公立医院内HAI的发生情况.
研究的目的:
- 检查公立县级医院的医院获得感染 (HAI) 的发生率和模式.
- 确定最常见的HAI类型和引起病原体.
- 分析 HAI 在特定时期的流行趋势.
主要方法:
- 采用了横截面研究设计.
- 通过Mures公共卫生总局,从指定县的所有公立医院收集了有关HAI的数据.
- 分析涵盖了2017年至2021年报告的HAI,共计4603例.
主要成果:
- 医疗部门报告HAI患病率最高 (48.25%).
- 关键的感染包括Clostridioides困难肠球炎 (32.61%),COVID-19 (19.83%) 和支气管肺炎 (16.90%).
- 最主要的病原体是Clostridioides difficile,SARS-CoV-2,Acinetobacter baumannii,Klebsiella pneumoniae和Pseudomonas aeruginosa,其中C. difficile和Gram阴性细菌的数量显著增加.
结论:
- 该研究观察到,在COVID-19大流行期间,HAI内Clostridioides difficile感染的显着增加.
- 这凸显了明智使用抗生素对抗日益增长的抗菌素耐药性的必要性.
- 这些发现强调了多抗性菌株在流行病后的医疗保健环境中所带来的不断升级的挑战.
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