دورية أكاديمية
[Risk factors for acquired multidrug-resistant Acinetobacter baumannii colonization in respiratory intensive care unit].
| العنوان: | [Risk factors for acquired multidrug-resistant Acinetobacter baumannii colonization in respiratory intensive care unit]. |
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| المؤلفون: | Wang HL; Department of Clinical Laboratory Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China., Sui WJ, Wang JR, Wang M, Huang YF, Gu HT, Pang J, Lu XX |
| المصدر: | Zhonghua yi xue za zhi [Zhonghua Yi Xue Za Zhi] 2012 Apr 10; Vol. 92 (14), pp. 960-3. |
| نوع المنشور: | Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
| اللغة: | Chinese |
| بيانات الدورية: | Publisher: Zhonghua yi xue hui Country of Publication: China NLM ID: 7511141 Publication Model: Print Cited Medium: Print ISSN: 0376-2491 (Print) Linking ISSN: 03762491 NLM ISO Abbreviation: Zhonghua Yi Xue Za Zhi Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Beijing : Zhonghua yi xue hui Original Publication: Beijing : Zhonghua yi xue hui. |
| مواضيع طبية MeSH: | Acinetobacter Infections/*microbiology , Acinetobacter baumannii/*isolation & purification , Cross Infection/*microbiology, Acinetobacter Infections/epidemiology ; Acinetobacter baumannii/drug effects ; Adult ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents/adverse effects ; Anti-Bacterial Agents/pharmacology ; Carbapenems/adverse effects ; Carbapenems/pharmacology ; Cross Infection/epidemiology ; Drug Resistance, Multiple, Bacterial ; Female ; Humans ; Intensive Care Units ; Male ; Middle Aged ; Respiration, Artificial/adverse effects ; Respiratory Care Units ; Retrospective Studies ; Risk Factors ; Young Adult |
| مستخلص: | Objective: To determine the risk factors for respiratory intensive care unit (RICU)-acquired colonization of multidrug-resistant Acinetobacter baumannii (MDR-AB). Methods: From January 2010 to June 2011, active screening was performed to define patients with RICU-acquired colonization of MDR-AB. And environment surveillance was carried out and patient data were collected. Logistic regression was applied to identify the risk factors of RICU-acquired colonization of MDR-AB. Results: Active screening for MDR-AB was performed for 110 patients in RICU and 50 patients turned out to be positive. After eliminating 3 input positive patients, the RICU-acquired colonization rate of MDR-AB was 43.9% (47/107). The environmental contaminated rate of MDR-AB was 66.0% (31/47) for 47 positive patients and 33.9% (19/56) for 56 negative ones (χ(2) = 10.494, P < 0.01). Five risk factors were associated with the colonization of MDR-AB through univariate analysis: consciousness disturbance, use of carbapenems, nasal feeding tube, endotracheal intubation and mechanical ventilation (all P < 0.05). The Logistic regression equation contained 3 risk factors of conscious disturbance, use of carbapenems and mechanical ventilation (OR = 3.412, 3.211, 3.002; 95% CI: 1.165 - 9.992, 1.117 - 9.233, 1.101 - 8.182). Conclusion: Three risk factors are independently associated with the RICU-acquired colonization of MDR-AB: consciousness disturbance, use of carbapenems and mechanical ventilation. |
| المشرفين على المادة: | 0 (Anti-Bacterial Agents) 0 (Carbapenems) |
| تواريخ الأحداث: | Date Created: 20120712 Date Completed: 20130320 Latest Revision: 20201209 |
| رمز التحديث: | 20240628 |
| PMID: | 22781568 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0376-2491 |
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