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对长期住院患者进行高耐药性微生物的主动监测。

Active surveillance for highly resistant microorganisms in patients with prolonged hospitalization.

作者信息

Bastiaens Guido J H, Baarslag Tom, Pelgrum Corinne, Mascini Ellen M

机构信息

1Laboratory for Medical Microbiology and Medical Immunology, Rijnstate Hospital, Pres. Kennedylaan 100, 6883 AZ Velp, The Netherlands.

2Department of Medical Microbiology & Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands.

出版信息

Antimicrob Resist Infect Control. 2020 Jan 7;9(1):8. doi: 10.1186/s13756-019-0670-8. eCollection 2020.

DOI:10.1186/s13756-019-0670-8
PMID:31921414
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6945390/
Abstract

We evaluated a new hospital policy comprising active surveillance for highly resistant microorganisms (HRMO) in patients with prolonged hospitalization, including detection of nosocomial transmission after identification of HRMO carriers. Our findings raise the question of whether active surveillance should be extended from traditional risk groups to patients with prolonged hospitalization.

摘要

我们评估了一项新的医院政策,该政策包括对长期住院患者的高度耐药微生物(HRMO)进行主动监测,其中包括在确定HRMO携带者后检测医院内传播情况。我们的研究结果提出了一个问题,即主动监测是否应从传统风险群体扩展到长期住院患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08cc/6945390/dacfabd2daf4/13756_2019_670_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08cc/6945390/51c66fb004d4/13756_2019_670_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08cc/6945390/dacfabd2daf4/13756_2019_670_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08cc/6945390/51c66fb004d4/13756_2019_670_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08cc/6945390/dacfabd2daf4/13756_2019_670_Fig2_HTML.jpg

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2
A rapid and high-throughput screening approach for methicillin-resistant Staphylococcus aureus based on the combination of two different real-time PCR assays.一种基于两种不同实时荧光定量PCR检测方法相结合的耐甲氧西林金黄色葡萄球菌快速高通量筛选方法。
J Clin Microbiol. 2014 Aug;52(8):2861-7. doi: 10.1128/JCM.00808-14. Epub 2014 May 28.
3
Evaluation of a new real-time PCR assay (Check-Direct CPE) for rapid detection of KPC, OXA-48, VIM, and NDM carbapenemases using spiked rectal swabs.
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Diagn Microbiol Infect Dis. 2013 Dec;77(4):316-20. doi: 10.1016/j.diagmicrobio.2013.09.007. Epub 2013 Oct 14.
4
Prospective evaluation of colonization with extended-spectrum beta-lactamase (ESBL)-producing enterobacteriaceae among patients at hospital admission and of subsequent colonization with ESBL-producing enterobacteriaceae among patients during hospitalization.对入院患者中产超广谱β-内酰胺酶(ESBL)肠杆菌科细菌定植情况以及住院期间患者后续产ESBL肠杆菌科细菌定植情况的前瞻性评估。
Infect Control Hosp Epidemiol. 2009 Jun;30(6):534-42. doi: 10.1086/597505.
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Epidemiology of multidrug-resistant bacteria in patients with long hospital stays.长期住院患者中多重耐药菌的流行病学
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