在入院时确定抗卡巴因的Acinetobacter baumannii携带的风险因素:个案对照研究
Debby Ben-David1,2, Bar Roshansky3, Yael Cohen3
1Wolfson Medical Center, Holon, Israel. Debbyb@wmc.gov.il.
Antimicrobial resistance and infection control
|December 21, 2024
概括
耐卡巴尼姆的Acinetobacter baumannii (CRAB) 携带与压力和从长期急性护理医院转移有关. 在这些高风险患者中,针对CRAB的查对预防医疗相关感染至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
- 医院流行病学 医院流行病学
背景情况:
- 积极查和早期检测是防止在医疗保健机构中抗卡巴因耐药的Acinetobacter baumannii (CRAB) 传播的关键.
- 在入院时识别CRAB携带的风险因素对于有效的控制策略至关重要.
研究的目的:
- 为了确定患者特异性风险因素与 carbapenem 耐药 Acinetobacter baumannii (CRAB) 携带在急症医院入院时.
- 为了比较CRAB和carbapenem敏感A. baumannii (CSAB) 携带的风险因素.
主要方法:
- 一个个案例对照研究,涉及医疗病房新入院者的直肠和口腔查.
- 使用多项逻辑回归和千方形自动相互作用探测器 (CHAID) 分析来确定相关的风险因素.
- 携带CRAB或CSAB携带的患者与负培养的对照人群进行了比较.
主要成果:
- 年龄的增加与CSAB和CRAB运输的风险降低有关.
- 较高的查尔森并发症指数得分增加了CSAB和CRAB运输的风险.
- 携带大与从长期急性护理机构的入院和压力的存在密切相关 (OR: 89.98).
结论:
- 压力是敏感和耐药Acinetobacter baumannii携带的重要危险因素.
- 从长期急症护理医院转移的患者代表了CRAB携带的高风险群体.
- 对于从长期急性护理机构入院的患者,特别是那些有压力的患者,应实施针对CRAB的查方案.
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