由抗卡巴胺抗性肠道细菌引起的感染的可归因死亡率:来自前性,跨国病例控制对照匹配队列研究 (EURECA) 的结果
María Paniagua-García1, Jose M Bravo-Ferrer2, Salvador Pérez-Galera3
1Unidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena and Departamento de Medicina, Universidad de Sevilla/Instituto de Biomedicina de Sevilla/CSIC, Seville, Spain; Unidad Clínica de Enfermedades Infecciosas, Microbiología y Parasitología, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
与敏感菌株或没有感染相比,耐卡巴因的肠道细菌 (CRE) 感染显著增加了30天的死亡率. 患者因素和延迟治疗是CRE相关死亡的关键因素.
科学领域:
- 传染性疾病 传染性疾病
- 临床微生物学 临床微生物学
- 流行病学 流行病学
背景情况:
- 耐卡巴胺肠道细菌 (CRE) 由于治疗选择有限,对全球健康构成重大威胁.
- 评估CRE感染的真正死亡负担对于公共卫生战略至关重要.
研究的目的:
- 量化可归因于耐卡巴胺肠道细菌 (CRE) 感染的死亡率.
- 研究临床管理对CRE感染患者结局的影响.
主要方法:
- 一项涉及50家欧洲医院的跨国,前性,匹配的队列研究.
- 与患有CRE感染,对卡巴胺敏感的肠细菌 (CSE) 感染和未感染患者之间的30天死亡率的比较.
- 多变量和分层的考克斯回归分析以评估死亡风险.
主要成果:
- 30天死亡率为CRE的23.8%,CSE的10.6%,非感染患者的8.4%.
- 与CSE和非感染组相比,CRE感染与30天死亡风险显著增加.
- 当考虑与治疗相关的因素时,CRE和CSE之间的死亡风险比率下降.
结论:
- CRE感染与相当大的可归因死亡率有关.
- 患者的特征和适当治疗的延迟显著影响CRE感染的死亡率结果.
更多相关视频
09:24Optical Screening of Novel Bacteria-specific Probes on Ex Vivo Human Lung Tissue by Confocal Laser Endomicroscopy
Published on: November 29, 2017
07:59Rapid and Specific Detection of Acinetobacter baumannii Infections Using a Recombinase Polymerase Amplification/Cas12a-based System
Published on: April 25, 2025
相关概念视频
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Infectious Diseases and Their Occurrence
Mechanism of Antibiotic Resistance in MRSA
Clinical Significance of Antibiotic Resistance
