创伤患者中多重耐药革兰氏阴性杆菌定植的危险因素
Multidrug-resistant gram-negative bacilli colonization risk factors among trauma patients.
作者信息
Gilbert Laura J, Li Ping, Murray Clinton K, Yun Heather C, Aggarwal Deepak, Weintrob Amy C, Tribble David R
机构信息
Walter Reed National Military Medical Center, Bethesda, MD, USA.
Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA; The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD USA.
出版信息
Diagn Microbiol Infect Dis. 2016 Apr;84(4):358-60. doi: 10.1016/j.diagmicrobio.2015.12.014. Epub 2015 Dec 23.
Abstract
Prior studies have demonstrated high rates of colonization and infection with multidrug-resistant gram-negative bacilli (MDR-GNB) in injured military personnel. Our analysis shows that injuries inflicted during peak combat periods, massive blood transfusion requirement, and posttrauma cefazolin prophylaxis (additive effect with fluoroquinolones) were risk factors for MDR-GNB colonization.
摘要
先前的研究表明，受伤军事人员中多重耐药革兰氏阴性杆菌（MDR-GNB）的定植和感染率很高。我们的分析表明，在战斗高峰期受伤、大量输血需求以及创伤后头孢唑林预防（与氟喹诺酮类药物有相加作用）是MDR-GNB定植的危险因素。
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