在ICU中是否需要进行常规查Candida auris?
Arun Sachu1, Harisree Sudersanan2, Sanjo Sunny3
1Department of Micobiology, Believers Church Medical College, Thiruvalla, Kerala, India.
Iranian journal of microbiology
|November 13, 2024
概括
这项研究发现,在ICU中,Candida auris的殖民率非常低. 建议使用基于风险的监测策略,而不是对Candida spp.进行普遍查.
科学领域:
- 医学真菌学 医学真菌学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 由于侵入性感染,多药性耐药性和与医疗保健相关的疫情,Candida auris构成重大威胁.
- 估计C. auris殖民的流行率,并确定Candida spp.的风险因素. 在重症监护室 (ICU) 的殖民化至关重要.
研究的目的:
- 为了确定在ICU患者中Candida auris殖民的流行率.
- 为了确定与Candida spp.相关的风险因素. 在这个患者群体中殖民化.
主要方法:
- 从229名接受ICU治疗的患者中采集了下和沟拭子.
- 样品在CHROMagar Candida Plus介质上进行培养,并使用VITEK-2进行确认,用于Candida auris的识别.
主要成果:
- 只有一个患者 (0.4%) 感染了Candida auris.
- 总体而言,20.5%的患者被Candida spp.殖民,Candida parapsilosis是最常见的.
- 抗生素使用和脑血管事故被确定为Candida殖民的独立风险因素.
结论:
- 在所有患者中,普遍查Candida auris是不具有成本效益的,因为其在这个ICU的流行率很低.
- 基于已识别的风险因素的修改过的查策略被提出为监测的更理想方法.
更多相关视频
08:31Candida albicans Biofilm Development on Medically-relevant Foreign Bodies in a Mouse Subcutaneous Model Followed by Bioluminescence Imaging
Published on: January 27, 2015
12.9K
05:26Author Spotlight: Oral Candida Diagnosis to Advance Clinical Treatment Regimen for pSS Patients
Published on: March 1, 2024
861
相关概念视频
01:22Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
01:25Transmission-based Precautions II: Airborne and Protective Environment
1.2K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.2K
01:26Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K