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法国一家大学医院中耐万古霉素屎肠球菌的定植与感染暴发。

Outbreak of colonization and infection with vancomycin-resistant Enterococcus faecium in a French university hospital.

作者信息

Lesens Olivier, Mihaila L, Robin F, Baud O, Romaszko J P, Tourniac O, Constantin J M, Souweine B, Bonnet R, Bouvet A, Beytout J, Traore O, Laurichesse H

机构信息

Service des Maladies Infectieuses et Tropicales, Clermont-Ferrand, France.

出版信息

Infect Control Hosp Epidemiol. 2006 Sep;27(9):984-6. doi: 10.1086/504932. Epub 2006 Aug 24.

Abstract

An outbreak of infection with vancomycin-resistant Enterococcus faecium occurred at Hotel-Dieu Hospital (Clermont-Ferrand, France). A case-control study was performed in the infectious diseases and hematology units of the hospital. Urinary catheter use (odds ratio [OR], 12 [95% confidence interval {CI}, 1.5-90]; P<.02), prior exposure to a third-generation cephalosporin (OR, 22 [95% CI, 3-152]; P=.002), and prior exposure to antianaerobials (OR, 11 [95% CI, 1.5-88]; P<.02) were independently predictive of vancomycin-resistant Enterococcus faecium carriage.

摘要

法国克莱蒙费朗迪厄医院发生了耐万古霉素屎肠球菌感染暴发。在该医院的传染病科和血液科进行了一项病例对照研究。使用导尿管(比值比[OR]为12[95%置信区间{CI},1.5 - 90];P <.02)、先前接触过第三代头孢菌素(OR为22[95%CI,3 - 152];P =.002)以及先前接触过抗厌氧菌药物(OR为11[95%CI,1.5 - 88];P <.02)均独立预测了耐万古霉素屎肠球菌携带情况。

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