在地震相关创伤后转移的新生儿中,万科米辛耐药性肠球菌的殖民化:回顾性分析
Berfin Özgökçe Özmen1, Şefika Aldaş2, Mustafa Akçalı3
1Specialist of Pediatric Infectious Diseases, Department of Pediatrics, University of Health Sciences, Mersin City Education and Research Hospital, Mersin, Türkiye.
Journal of global antimicrobial resistance
|February 25, 2026
概括
在卡拉曼马拉斯地震后的重症监护病房中的新生儿面临更高的万科米辛耐药性肠球菌 (VRE) 殖民风险,特别是那些在医院之间转移或机械通风的新生儿. 在灾后,有针对性的感染控制至关重要.
科学领域:
- 医学微生物学 医学微生物学
- 传染性疾病 传染性疾病
- 新生儿护理 新生儿护理
背景情况:
- 2023年2月喀拉曼马拉斯地震为新生儿重症监护室 (NICU) 创造了具有挑战性的环境.
- 灾后情景通常涉及医院间转移和增加新生儿临床干预.
- 抗菌素抗性肠球菌 (VRE) 在医疗保健环境中构成重大威胁,特别是在脆弱的婴儿群体中.
研究的目的:
- 在地震后入院到第三级NICU的新生儿中调查抗万科米辛抗性肠球菌 (VRE) 殖民的流行率和风险因素.
- 分析医院间转移,临床干预和养实践对VRE殖民率的影响.
- 在灾后时期确定与新生儿VRE殖民相关的关键因素.
主要方法:
- 在2023年2月至2024年7月期间住院的新生儿有VRE定居记录的回顾性分析.
- 数据收集包括人口统计,与出生有关的,入院和临床变量,以及抗菌素暴露 (包括万科米辛) 和养做法.
- 统计方法包括相关性分析和多变量逻辑回归来确定显著的关联.
主要成果:
- 与2024年相比,VRE殖民在2023年更频繁,新生儿需要机械通风或医院间转移的比例更高.
- 长时间住院与机械通风有显著的关联.
- 虽然母乳养率在2024年增加,但机械通风和医院间转移仍然是与NICU住院相关的关键因素.
结论:
- 在紧急灾后条件下转移的新生儿是面临VRE殖民风险增加的脆弱群体.
- 机械通风和转移状态是NICU在灾后期间感染控制的关键因素.
- 定制的感染控制策略对于减轻自然灾害后NICU中VRE风险至关重要.
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