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对抗万科米辛抗性肠球菌的查结果的评估:三年监测

Zeynep Ayaydın¹, Ayşe Batgi Azarkan¹, Özge Alkan Bilik²

¹Department of Medical Microbiology, Diyarbakır Gazi Yaşargil Training and Research Hospital, Health Sciences University, Diyarbakır, Turkey.

Iranian journal of public health

|October 17, 2024

概括

抗万科胺素肠球菌 (VRE) 的殖民化是医院的一个重大问题. 这项研究发现,与儿科患者相比,成人患者,特别是重症监护病房的VRE患病率更高.

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
医院流行病学医院流行病学

背景情况:

肠球菌是格拉姆阳性菌,通常会殖民于胃肠道.
住院患者代表了抗万科胺素抗性肠球菌 (VRE) 的关键储存库.
由于抗微生物药物耐药性,VRE在医疗保健环境中构成了重大挑战.

研究的目的:

以后期评估对VRE的查结果.
评估成人和儿科患者的VRE患病率.
分析使用实时聚合酶链反应 (PCR) 检测VRE检测率.

主要方法:

对2019-2021年直肠抽样查结果的回顾性分析.
利用同时 (实时) 聚合酶链反应 (PCR) 进行VRE检测.
使用了Fluorion VRE QLP 1.0套件和Fluorion检测系统.

主要成果:

共有31,725名患者被纳入该研究.
根据年龄和年龄组,VRE检测率各不相同.
在2021年,VRE在7.5%的成人和4.1%的儿童中被检测到.

结论:

成年患者中,特别是重症监护病房的患者中,抗万科米辛抗性肠球菌的患病率更高.
对于高风险的临床环境,建议加强感染控制措施和培训.
建议限制不必要使用糖类抗生素,以对抗VRE传播.

关键词:

实时PCR可以实现.检查直肠的抽样.抗万科胺素耐药性肠球菌.抗万科胺素的肠球菌 (VRE)

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