在重症监护病房中,多药耐药细菌殖民的危险因素
Yolanda Garcia-Parejo1, Jesus Gonzalez-Rubio2, Jesus Garcia Guerrero1
1Department of Preventive Medicine and Public Health, Albacete University Teaching Hospital Complex, 02006 Albacete, Spain.
Intensive & critical care nursing
|July 10, 2024
概括
在重症监护室 (ICU) 识别患有多种耐药生物体 (MDROs) 定居的患者至关重要. 以前住院和更长的ICU停留时间分别是初始和医院MDROs殖民化的关键风险因素.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 抗菌素耐药性 (AMR) 是一个全球性的健康威胁.
- 重症监护病房 (ICU) 是多耐药生物体 (MDROs) 殖民和感染的高风险环境.
研究的目的:
- 确定MDRO在混合ICU中的流行病学特征和风险因素.
- 为了区分初始与医院MDROs殖民化的风险因素.
主要方法:
- 一个具有分析元素的描述性观察性研究.
- 使用了阿尔巴塞特大学总医院的零阻力注册表 (2016年4月 - 2021年12月).
- 确定了与MDROs殖民相关的风险因素.
主要成果:
- 61.0%的初始定居患者有风险因素,而没有风险因素的患者为34.0% (p < 0.001).
- 初始定居的重要风险因素包括先前住院 (≥5天/3个月),先前的MDROs定居/感染,以及制度化.
- 较长的ICU停留时间与增加的医院殖民化有关 (p < 0.001).
结论:
- 住院史,以前的MDRO状态和制度化是最初殖民化的重要风险因素.
- 长时间的ICU停留增加了医院内MDROs殖民化的风险.
- 早期识别和管理高危患者对于控制MDRO在ICU中传播至关重要.
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