A multicentre analysis of epidemiology of the nosocomial bloodstream infections in Japanese university hospitals.
作者： M. Nagao
关键词:
摘要: Nosocomial bloodstream infections (BSIs) are an important cause of morbidity and mortality. The current study analysed data from a concurrent surveillance programme to examine the epidemiological trends for nosocomial BSIs at 22 Japanese university hospitals 1 April 2008 31 March 2012. number blood culture sets taken, rate multiple rates antibiotic-resistant isolates among six major BSI pathogens (Staphylococcus aureus, Enterococcus spp., Escherichia coli, Klebsiella Pseudomonas aeruginosa, Candida spp.) not including coagulase-negative staphylococci, were evaluated. clinical characteristics caused by these also collected 2941 patients. taken per bed increased during 4-year period (from 4.07 in 5.37 2011), 29.9% 50.0% 2011). Methicillin resistance was detected 50.2% S. aureus isolates. prevalence extended-spectrum beta-lactamase-producing E. coli spp. annually period, average 12.3% 5.8%, respectively. overall crude mortality due evaluated 24.5% (43.2% ICU settings 20.5% non-ICU settings). Thus, our multicentre BSIs, we found that further efforts needed increase use improve prognosis hospitals.
clinicalmicrobiologyandinfection.com
core.ac.uk
sci-hub.se 参考文章(25)
Clinical, Michael L. Wilson, Principles and procedures for blood cultures : approved guideline Clinical and Laboratory Standards Institute. ,(2007)
C.E.F. Starling, B.R.G.M. Couto, S.M.C. Pinheiro, Applying the centers for disease control and prevention and national nosocomial surveillance system methods in Brazilian hospitals American Journal of Infection Control. ,vol. 25, pp. 303- 311 ,(1997) , 10.1016/S0196-6553(97)90022-5
Tamer Saied, Amany Elkholy, Soad F. Hafez, Hadia Basim, Momtaz O. Wasfy, Waleed El-Shoubary, Ahmed Samir, Guillermo Pimentel, Maha Talaat, Antimicrobial resistance in pathogens causing nosocomial bloodstream infections in university hospitals in Egypt American Journal of Infection Control. ,vol. 39, ,(2011) , 10.1016/J.AJIC.2011.04.009
Carmen Peña, Cristina Suarez, Mónica Gozalo, Javier Murillas, Benito Almirante, Virginia Pomar, Manuela Aguilar, Ana Granados, Esther Calbo, Jesús Rodríguez-Baño, Fernando Rodríguez, Fe Tubau, Luis Martínez-Martínez, Antonio Oliver, Spanish Network for Research in Infectious Diseases (REIPI), None, Prospective Multicenter Study of the Impact of Carbapenem Resistance on Mortality in Pseudomonas aeruginosa Bloodstream Infections Antimicrobial Agents and Chemotherapy. ,vol. 56, pp. 1265- 1272 ,(2012) , 10.1128/AAC.05991-11
D. Pittet, Nosocomial bloodstream infection in critically ill patients. Excess length of stay, extra costs, and attributable mortality JAMA: The Journal of the American Medical Association. ,vol. 271, pp. 1598- 1601 ,(1994) , 10.1001/JAMA.271.20.1598
R.W. Haley, The scientific basis for using surveillance and risk factor data to reduce nosocomial infection rates Journal of Hospital Infection. ,vol. 30, pp. 3- 14 ,(1995) , 10.1016/0195-6701(95)90001-2
R. Mertens, J. M. Van den Berg, M. L. V. Veerman-Brenzikofer, X. Kurz, B. Jans, N. Klazinga, International Comparison of Results of Infection Surveillance: The Netherlands versus Belgium Infection Control and Hospital Epidemiology. ,vol. 15, pp. 574- 580 ,(1994) , 10.2307/30147431
B Cao, H Wang, H Sun, Y Zhu, M Chen, Risk factors and clinical outcomes of nosocomial multi-drug resistant Pseudomonas aeruginosa infections Journal of Hospital Infection. ,vol. 57, pp. 112- 118 ,(2004) , 10.1016/J.JHIN.2004.03.021
Gisele Peirano, Johann D.D. Pitout, Molecular epidemiology of Escherichia coli producing CTX-M β-lactamases: the worldwide emergence of clone ST131 O25:H4 International Journal of Antimicrobial Agents. ,vol. 35, pp. 316- 321 ,(2010) , 10.1016/J.IJANTIMICAG.2009.11.003
Rebecca L Lark, Carol Chenoweth, Sanjay Saint, Judith K Zemencuk, Benjamin A Lipsky, James J Plorde, Four year prospective evaluation of nosocomial bacteremia: epidemiology, microbiology, and patient outcome. Diagnostic Microbiology and Infectious Disease. ,vol. 38, pp. 131- 140 ,(2000) , 10.1016/S0732-8893(00)00192-9