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参与洋葱伯克霍尔德菌复合体暴发的患者的特征和预后预测因素。

Characteristics and outcome predictors of patients involved in an outbreak of Burkholderia cepacia complex.

机构信息

Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Italy.

出版信息

J Hosp Infect. 2013 Sep;85(1):73-5. doi: 10.1016/j.jhin.2013.06.013. Epub 2013 Aug 5.

Abstract

A Burkholderia cepacia complex outbreak occurred among ventilated non-cystic fibrosis patients in an intensive care unit (ICU) in Italy: 33 colonized and 13 infected patients were included in a retrospective study aimed at investigating factors related to clinical infection and mortality. Demographic/clinical conditions and mortality did not vary significantly between colonized and infected patients, both groups showing high mortality rates compared with the overall ICU population and similar to that observed in patients with other infections. In multivariate regression analysis, disease severity (defined by the Simplified Acute Physiology Score II) and age were the only independent predictors of early mortality (odds ratio: 1.12; 95% confidence interval: 1.02-1.26; and 1.07; 1.01-1.15, respectively).

摘要

在意大利的一个重症监护病房(ICU)中,发生了一起洋葱伯克霍尔德菌复合种暴发事件:共有 33 例定植和 13 例感染患者被纳入一项回顾性研究,旨在调查与临床感染和死亡率相关的因素。定植和感染患者的人口统计学/临床状况和死亡率无显著差异,与 ICU 总体人群相比,两组的死亡率均较高,与其他感染患者的死亡率相似。在多变量回归分析中,疾病严重程度(由简化急性生理学评分 II 定义)和年龄是早期死亡的唯一独立预测因素(比值比:1.12;95%置信区间:1.02-1.26;和 1.07;1.01-1.15)。

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