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法国一家三级教学医院婴儿队列中入院时携带产超广谱β-内酰胺酶肠杆菌科的相关危险因素。

Risk factors associated with extended-spectrum β-lactamase-producing Enterobacteriaceae carriage at admission in an infant cohort at a tertiary teaching hospital in France.

机构信息

Department of Pediatrics, Necker-Enfants-Malades Hospital, AP-HP, Université Paris-Descartes, Paris, France.

出版信息

Am J Infect Control. 2013 Sep;41(9):844-5. doi: 10.1016/j.ajic.2012.11.016. Epub 2013 Mar 7.

DOI:10.1016/j.ajic.2012.11.016
PMID:23465604
Abstract

We describe risk factors associated with extended-spectrum β-lactamase-producing Enterobacteriaceae fecal carriage at admission in an infant population. 12.6% were carrying extended-spectrum β-lactamase-producing Enterobacteriaceae. Klebsiella pneumoniae, and Escherichia coli were the most frequently identified species. Prior antibiotic therapy (P = .016; odds ratio, 4.07; 95% confidence interval: 1.29-12.81) and the presence tracheostomy or gastrostomy (P = .018; odds ratio, 3.62; 95% confidence interval: 1.24-10.53) were independently associated with carriage at admission.

摘要

我们描述了与婴儿人群入院时携带产超广谱β-内酰胺酶肠杆菌科相关的风险因素。12.6%的患者携带产超广谱β-内酰胺酶肠杆菌科。肺炎克雷伯菌和大肠杆菌是最常被鉴定的物种。入院前抗生素治疗(P=.016;优势比,4.07;95%置信区间:1.29-12.81)和存在气管造口术或胃造口术(P=.018;优势比,3.62;95%置信区间:1.24-10.53)与入院时的携带有关。

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