印度的Burkholderia cepacia复杂的医院疫情:一个范围审查
Ankita Saran1, Amit Agarwal2, Swapna Anandrao Mali3
1Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
The Indian journal of medical research
|February 6, 2025
概括
印度医院的Burkholderia cepacia复合体 (Bcc) 爆发通常与受污染的医疗产品有关,而不仅仅是环境. 快速识别和感染控制对于管理这些严重感染至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 公共卫生 公共卫生
背景情况:
- 伯克霍德里亚首帕西亚复合体 (Bcc) 是一种机会性病原体,在免疫功能低下的个体中引起严重感染.
- 在医疗机构中,BCC经常污染医疗产品和设备.
研究的目的:
- 为了对印度医院的BCC疫情进行范围审查.
- 确定BCC爆发的来源,并为管理策略提供信息.
主要方法:
- 根据PRISMA-ScR的指导方针,搜索了Embase,PubMed和科学网络 (1993-2024年).
- 包括报告印度Bcc疫情的研究.
- 分析了疫情的特征,来源和涉及的物种.
主要成果:
- 确定了22份疫情报告;细菌性病是最常见的表现.
- 污染的药品 (45.4%) 和医疗产品 (18.1%) 是主要来源,超过环境来源 (13.6%).
- 多部位序列类型 (MLST) 在六次疫情中被用于评估隔离克隆性.
结论:
- 医疗产品和环境表面是Bcc.的重要储库.
- 有效的疫情管理需要快速识别BCC,无菌检查和强有力的感染控制措施.
相关概念视频
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
5.7K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
5.7K
Healthcare Associated Infections II: Preventive Measures
4.7K
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...
4.7K
Pneumonia I: Introduction
1.5K
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
1.5K
Pneumonia II: Pathophysiology
4.7K
The pathophysiology of pneumonia involves the following steps:
4.7K
Clinical Significance of Antibiotic Resistance
90
Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within...
90
Pneumonia I: Introduction
24
Pneumonia is an infection of the lower respiratory tract that leads to inflammation of the lung parenchyma, often resulting in the accumulation of inflammatory exudate in the alveoli and airways. Unlike the watery, low-protein fluid exudate in pulmonary edema, the exudate in this case is a thick fluid rich in immune cells, proteins, and debris produced during infection and inflammation.This impairs gas exchange and can lead to consolidation of lung tissue. The infection may be caused by a...
24


