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泰国产超广谱β-内酰胺酶的大肠埃希菌或肺炎克雷伯菌所致医疗保健相关感染的危险因素及结局

Risk factors for and outcomes of healthcare-associated infection due to extended-spectrum beta-lactamase-producing Escherichia coli or Klebsiella pneumoniae in Thailand.

作者信息

Apisarnthanarak Anucha, Kiratisin Pattarachai, Saifon Payawan, Kitphati Rungrueng, Dejsirilert Surang, Mundy Linda M

机构信息

Division of Infectious Diseases, Faculty of Medicine, Thammasart University Hospital, Pratumthani, Thailand.

出版信息

Infect Control Hosp Epidemiol. 2007 Jul;28(7):873-6. doi: 10.1086/518725. Epub 2007 May 24.

DOI:10.1086/518725
PMID:17564993
Abstract

A matched case-control study was performed to evaluate the risk factors for and outcomes of healthcare-associated infection due to extended-spectrum beta-lactamase-producing Escherichia coli or extended-spectrum beta-lactamase-producing Klebsiella pneumoniae in Thailand. By multivariable analysis, prior exposure to third-generation cephalosporins and transfer from another hospital were risk factors associated with infection. Receipt of inadequate antimicrobial therapy was a predictor of mortality.

摘要

开展了一项配对病例对照研究,以评估泰国产超广谱β-内酰胺酶的大肠杆菌或产超广谱β-内酰胺酶的肺炎克雷伯菌引起的医疗保健相关感染的危险因素及结局。通过多变量分析,既往使用过第三代头孢菌素和从另一家医院转入是与感染相关的危险因素。抗菌治疗不足是死亡的一个预测因素。

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