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韩国三级医疗医院临床标本中非结核分枝杆菌的回收率正在上升。

Recovery Rates of Non-Tuberculous Mycobacteria from Clinical Specimens Are Increasing in Korean Tertiary-Care Hospitals.

作者信息

Kim Namhee, Yi Jongyoun, Chang Chulhun L

机构信息

Department of Laboratory Medicine, Pusan National University Hospital, Busan, Korea.

Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.

出版信息

J Korean Med Sci. 2017 Aug;32(8):1263-1267. doi: 10.3346/jkms.2017.32.8.1263.

Abstract

Non-tuberculous mycobacteria (NTM) are being recognized increasingly as the causative agents of opportunistic infections in humans. This study investigated the epidemiologic trends of NTM recovery from various clinical specimens in 2 Korean tertiary-care hospitals. We reviewed the laboratory records of patient samples cultured for mycobacteria between 2009 and 2015 at 2 tertiary-care hospitals in Korea. The medical records for patients with positive NTM samples were also reviewed. During the study period, 144,540 specimens were cultured for mycobacteria. The proportion of NTM-positive samples increased from 23.3% in 2009 to 48.2% in 2015. The 2 most frequently isolated NTM were Mycobacterium intracellulare (38.3%) and M. avium (23.1%). The number of clinically significant diseases caused by NTM in inpatients and outpatients increased from 6.8 to 12.9 per 100,000 patients over the same period. The rates of recovery of NTM from clinical specimens and the number of patients with NTM infections increased significantly (P < 0.001, testing for trend) between 2009 and 2015.

摘要

非结核分枝杆菌(NTM)越来越被认为是人类机会性感染的病原体。本研究调查了韩国两家三级医疗医院从各种临床标本中分离出NTM的流行病学趋势。我们回顾了2009年至2015年期间韩国两家三级医疗医院培养分枝杆菌的患者样本的实验室记录。还回顾了NTM样本呈阳性患者的病历。在研究期间,共培养了144,540份标本以检测分枝杆菌。NTM阳性样本的比例从2009年的23.3%增至2015年的48.2%。最常分离出的两种NTM是胞内分枝杆菌(38.3%)和鸟分枝杆菌(23.1%)。同期,住院患者和门诊患者中由NTM引起的具有临床意义的疾病数量从每10万人6.8例增至12.9例。2009年至2015年期间,临床标本中NTM的分离率和NTM感染患者数量显著增加(趋势检验,P < 0.001)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad0f/5494324/d2a4d6d48b8b/jkms-32-1263-g001.jpg

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