作为后续CRE感染的预测因素,耐卡巴胺肠道细菌 (CRE) 殖民:一项追溯监测研究
Courtney M Tubb1, Marco Tubb1, Jonathan Hooijer1
1Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Southern African journal of infectious diseases
|February 19, 2025
概括
抗卡巴胺的肠道细菌 (CRE) 殖民在南非比之前报道的更为普遍. 早期识别CRE殖民可以指导随后感染的抗生素选择,降低发病率和死亡率.
科学领域:
- 传染性疾病 传染性疾病
- 临床微生物学 临床微生物学
- 流行病学 流行病学
背景情况:
- 耐卡巴胺的肠道细菌 (CRE) 导致显著的发病率和死亡率.
- CRE殖民是感染的先驱,需要监视,但南非的数据很少.
研究的目的:
- 为了确定南非一家三级医院的CRE殖民流行率.
- 评估后续CRE感染的发生率,并确定相关的风险因素.
主要方法:
- 一个医疗高级护理病房的686名患者记录的回顾性审查 (南非加通市,2019年10月-2022年5月).
- 分析CRE殖民状态,并发病,内置设备和抗生素暴露.
主要成果:
- CRE殖民的患病率为12.4% (95% CI:10.1-15.1),其中Klebsiella肺炎 (81.2%) 和OXA-48类酶 (94.5%) 是最常见的.
- 抗生素暴露 (OR:2.21) 和中央静脉线 (OR:6.33) 是殖民化的危险因素.
- 21.2%的殖民患者在180天内发生了CRE感染,并发现了相同的生物和卡巴酶.
结论:
- 这项研究显示,南非的CRE患病率比以前报告的要高,强调了需要进行干预的必要性.
- 殖民化和感染之间的密切关系支持使用殖民化数据来指导随后感染的早期抗生素选择.
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