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医院感染:蟑螂可能作为耐多药克雷伯菌的传播媒介

Nosocomial infections: cockroaches as possible vectors of drug-resistant Klebsiella.

作者信息

Fotedar R, Banerjee U, Samantray J C, Nayar E, Verma A

机构信息

Department of Microbiology, All India Institute of Medical Sciences, New Delhi.

出版信息

J Hosp Infect. 1991 Jun;18(2):155-9. doi: 10.1016/0195-6701(91)90161-z.

DOI:10.1016/0195-6701(91)90161-z
PMID:1678762
Abstract

The possibility that hospital cockroaches may act as vectors of drug-resistant Klebsiella spp. was investigated during Nov 1985 to April 1989, at the All India Institute of Medical Sciences (AIIMS) hospital. Klebsiella spp. (majority Klebsiella pneumoniae) were isolated from 28.3% of hospital cockroaches and 28.1% of infected wounds of patients. Most of Klebsiella isolates from patients (96.3%), and hospital cockroaches (85.9%) showed multiple drug resistance to four or more antimicrobials. Similar strains of Klebsiella spp. were encountered among patients and hospital cockroaches. These findings suggest that hospital cockroaches may act as vectors of drug-resistant Klebsiella spp. and may contribute to the epidemiology of nosocomial infections.

摘要

1985年11月至1989年4月期间,在全印度医学科学研究所(AIIMS)医院,对医院蟑螂可能作为耐多药克雷伯菌属载体的可能性进行了调查。从28.3%的医院蟑螂和28.1%的患者感染伤口中分离出克雷伯菌属(大多数为肺炎克雷伯菌)。从患者中分离出的大多数克雷伯菌(96.3%)和医院蟑螂(85.9%)对四种或更多抗菌药物表现出多重耐药性。在患者和医院蟑螂中发现了相似菌株的克雷伯菌属。这些发现表明,医院蟑螂可能是耐多药克雷伯菌属的载体,并可能在医院感染的流行病学中发挥作用。

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