揭示了中国抗万科明素肠球菌的驱动因素:一项全面的生态研究
Jiongjiong Wang1, Xiaoying Li2, Xinying Du2
1Department of Epidemiology, School of Public Health, Zhengzhou University, Zhengzhou 450001, Henan Province, China.
Infectious medicine
|February 6, 2025
概括
香草素的消费显著推动了对香草素耐药性肠球菌 (VRE) 的流行. 更高的温度和更多的医院床位可能有助于减少VRE发病率.
科学领域:
- 医学微生物学 医学微生物学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 抗万科胺素的肠球菌 (VRE) 构成了严重的全球健康威胁.
- 了解影响VRE发生率的因素对于控制策略至关重要.
研究的目的:
- 调查VRE发生率与人口和气候因素之间的相关性.
- 确定科菌中万科胺素耐药性的关键驱动因素.
主要方法:
- 对2014年1月至2021年12月的数据进行了回顾性分析.
- 包括斯皮尔曼等级相关性,β回归和空间分析在内的统计分析.
- 使用R版本4.2.2和ArcGIS版本10.7进行数据分析.
主要成果:
- 香草素消费与VRE*Enterococcus faecium* (VREfm) 患病率存在正相关性.
- 农村人口,老年人比例 (≥65) 和年温度与VRE发病率有显著的相关性.
- 人均医院病床密度与VRE发病率相反相关.
结论:
- 范科米辛的利用是VREfm抵抗的主要驱动因素.
- 农村人口和65岁以上的年龄等人口因素的影响较小,但显著.
- 年度温度和医院床位的可用性作为VREfm的保护因素.
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