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[2005 - 2009年与2013 - 2017年某大学医院厌氧细菌引起的血流感染发生率。一项回顾性比较研究]

[The incidence of bloodstream infections caused by anaerobic bacteria in a university hospital between 2005–2009 and 2013–2017. A retrospective, comparative study].

作者信息

Gajdács Márió, Terhes Gabriella, Urbán Edit

机构信息

Szegedi Tudományegyetem, Szeged, Eötvös u. 6., 6720.

Szegedi Tudományegyetem, Szeged.

出版信息

Orv Hetil. 2020 May 1;161(19):797-803. doi: 10.1556/650.2020.31705.

Abstract

Introduction: Anaerobes play an important etiological role in invasive infections, and may be clinically significant pathogens in bloodstream infections and septicemia, but little data are available on their true prevalence in Hungary. Aim: The aim of this study was to determine the prevalence of anaerobic bacteria in the blood culture samples received at the Institute of Clinical Microbiology, University of Szeged, retrospectively. Method: Blood culture samples received at the Institute were analyzed over a 5-year period (01. 01. 2013-31. 12. 2017); the comparison was based on a similar study (2005-2009) conducted in the same region. Results: Between 2013 and 2017, our Institute received an average of 23,274 ± 2,756 blood culture bottles, of which an average of 10.5% were positive and 0.4% were positive for anaerobes (3.5-3.8/1000 bottles). Clinically significant anaerobic pathogens were predominantly Bacteroides fragilis group (39.9%) and Clostridium species (32.8%). Conclusion: Despite their relatively low numbers, anaerobic bacteria are considered important etiologic factors in bloodstream infections. Our results highlight the importance of modern identification methods in adequate anaerobic diagnostics. Orv Hetil. 2020; 161(19): 797-803.

摘要

引言

厌氧菌在侵袭性感染中起着重要的病因学作用,可能是血流感染和败血症中有临床意义的病原体,但关于其在匈牙利的真实患病率的数据很少。目的:本研究的目的是回顾性确定塞格德大学临床微生物研究所收到的血培养样本中厌氧菌的患病率。方法:对该研究所5年期间(2013年1月1日至2017年12月31日)收到的血培养样本进行分析;比较基于同一地区进行的一项类似研究(2005 - 2009年)。结果:2013年至2017年期间,我们研究所平均收到23274±2756瓶血培养瓶,其中平均10.5%为阳性,厌氧菌阳性率为0.4%(3.5 - 3.8/1000瓶)。具有临床意义的厌氧病原体主要是脆弱拟杆菌群(39.9%)和梭菌属(32.8%)。结论:尽管厌氧菌数量相对较少,但它们被认为是血流感染中的重要病因。我们的结果强调了现代鉴定方法在充分的厌氧诊断中的重要性。《匈牙利医学周报》。2020年;161(19):797 - 803。

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