患者和环境的入植流行病学与万科米辛耐药性肠球菌
M J Bonten1, M K Hayden, C Nathan
1Division of Infectious Diseases, Cook County Hospital, Chicago, Illinois, USA.
Lancet (London, England)
|December 14, 1996
概括
在重症监护病房入院时,频繁的对菌素耐药性肠球菌 (VRE) 的殖民化和交叉殖民化是VRE传播的关键因素. 持续的VRE殖民和环境污染有助于其特有性质.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 关键护理医学 关键护理医学
背景情况:
- 越来越多的菌素耐药性肠球菌 (VRE) 被认为是医院病原体.
- 对VRE流行病学的有限理解需要对殖民来源进行调查.
研究的目的:
- 调查患者殖民和环境污染VRE在一个特有环境.
- 评估不同来源对VRE殖民有所贡献的相对重要性.
主要方法:
- 从医疗重症监护室 (MICU) 新入院患者的身体部位和环境表面的每日培养.
- 来自非通风MICU患者的直肠培养.
- 使用脉冲场凝电泳,对VRE分离物的菌株类型化.
主要成果:
- 在通风患者 (24%) 的入院时,与非通风患者 (6%) 相比,VRE殖民的频率更高.
- 41%的非殖民呼吸器患者在MICU逗留期间获得了VRE,其中85%归因于交叉殖民.
- 在12%的环境培养物中检测到VRE,13名患者的房间受到污染,尽管随后的获取率很低 (23%).
结论:
- 在MICU入院时频繁的VRE殖民化和交叉殖民化是流行性VRE传播的重要驱动因素.
- 持续的胃肠道和皮肤殖民,多种VRE菌株和环境污染可能导致VRE传播.
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