分子流行病学和临床含义的甲基西林耐药黄金葡萄球菌 (MRSA) 序列类型在儿科细菌病:一个回顾性观察性研究,2016-2021年
Gahee Kim1,2, Sanghoon Lee1, Yonghee Lee3
1Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
BMC infectious diseases
|February 24, 2024
概括
韩国儿童中最常见的是ST72甲素耐药黄金葡萄球菌 (MRSA) 菌株,但ST1组是儿童MRSA细菌病死亡的重要危险因素. 了解MRSA流行病学对于有效的预防和治疗策略至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 分子流行病学分子流行病学
- 儿科健康 儿科健康
背景情况:
- 儿科患者中MRSA感染的高负担.
- 缺乏最近关于韩国儿童MRSA的分子流行病学研究.
- 需要了解当前的MRSA基因型和儿科细菌病的临床特征.
研究的目的:
- 为了研究MRSA分子基因型,从患有细菌病的儿童中分离出来.
- 分析儿科MRSA细菌病例的临床特征.
- 确定2016年至2021年韩国儿童MRSA的流行病学趋势.
主要方法:
- 临床数据的回顾性审查.
- 多部位序列类型 (MLST) 用于MRSA分子类型.
- 葡萄球菌带染色体mec (SCCmec) 类型化用于MRSA的表征.
主要成果:
- 在S. aureus细菌症中,甲素耐药率为44.8%.
- 主要的MRSA基因型是ST72 (67.6%),其次是ST5 (18.9%) 和ST1 (5.4%).
- ST1组是30天死亡率的一个独立风险因素 (aOR, 44.12).
结论:
- 在韩国儿科患者中,ST72-MRSA仍然是最常见的基因型.
- 该ST1MRSA组与儿科细菌病的死亡率增加有关.
- 持续监测MRSA流行病学对于公共卫生战略至关重要.
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