在加拿大急症医院网络中对抗微生物耐药性生物体的查实践
Andrew Neitzel1, Jessica J Bartoszko1, Erin McGill1
1Public Health Agency of Canada, Ottawa, ON, Canada.
概括
医院在对抗微生物耐药生物体 (ARO) 的查方面存在差异. 甲素耐药黄金葡萄球菌 (MRSA) 查是常见的,而生产卡巴酶的生物体 (CPO) 和抗万素耐药菌 (VRE) 查不那么一致.
科学领域:
- 传染性疾病 传染性疾病
- 医院流行病学 医院流行病学
- 公共卫生 微生物学
背景情况:
- 抗菌素耐药性 (AMR) 是一个日益增长的全球健康威胁.
- 有效的监测和查对于控制抗微生物耐药生物体 (ARO) 在医疗机构的传播至关重要.
- 标准化选实践对于准确解释耐药性数据至关重要.
研究的目的:
- 在加拿大鼻腔感染监测计划 (CNISP) 中的医院中调查和描述当前的ARO查实践.
- 为了确定特定ARO的查协议的变化,包括MRSA,CPO和VRE.
- 提供可以为加拿大医院内的ARO查策略提供信息和潜在标准化的见解.
主要方法:
- 在参与CNISP的75家医院中进行了基于调查的研究.
- 收集了有关ARO查实践的数据,包括特定的病原体和测试方法.
- 用描述性统计数据分析了查实践的流行率和模式.
主要成果:
- 对AROs的查实践在参与医院中显示出显著的变化.
- 据报道,针对耐美西林黄金葡萄球菌 (MRSA) 进行广泛查.
- 查Carbapenemase产生的有机体 (CPO) 是有选择的,和查万科米辛耐药性肠球菌 (VRE) 是有限的.
结论:
- 目前在CNISP医院内的ARO查实践不一致,特别是对于CPO和VRE.
- 这些变化可能会影响 ARO 监测数据的解释和耐药率的可比性.
- 改进和可能标准化查协议的建议是有必要的,以加强感染控制工作.
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