卡巴耐药肠杆菌在重症监护病房殖民的危险因素:一个元分析
Mohammad Hossein Zamanian1,2, Negin Farhadian3, Sahar Sanaei4
1Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
在重症监护室 (ICU) 中,耐卡巴尼姆的肠道细菌 (CRE) 殖民与之前的住院,ICU住院和侵入性设备有关. 查这些高风险患者可以预防感染.
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
- 微生物学 微生物学
背景情况:
- 在重症监护病房 (ICU) 中,耐卡巴尼姆的肠道细菌 (CRE) 感染是一个主要的医疗保健问题.
- CRE殖民是侵入性感染的关键前体,需要识别相关的风险因素.
研究的目的:
- 系统地识别和量化与ICU患者中CRE殖民相关的风险因素.
主要方法:
- 在PubMed,EMBASE和研究参考文献中进行了系统的文献搜索,直到2023年9月.
- 使用几率比率 (ORs) 和95%置信区间进行的元分析比较了CRE殖民和非殖民患者之间的风险因素.
主要成果:
- 十二项研究显示,CRE殖民和先前住院 (OR:2.26),先前的ICU住院 (OR:10.33) 和更高的APACHE II分数 (MD:4.38) 之间存在显著的关联.
- 侵入性设备 (中央静脉导管,尿道导管,机械通风等) 和广泛的抗生素暴露 (糖,碳烯等). 与CRE殖民化有着密切的联系.
结论:
- 前入院,ICU入院,抗生素暴露和侵入性手术是ICU患者中CRE殖民化的关键风险因素.
- 对高风险的ICU患者进行有针对性的查对于预防医院内CRE感染至关重要.
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