Clinical Pharmacology Department, Clinical Centre Kragujevac, Kragujevac, Serbia.
Faculty of Medical Science, University of Kragujevac, Kragujevac, Serbia.
J Chemother. 2021 Sep;33(5):294-301. doi: 10.1080/1120009X.2020.1823679. Epub 2020 Sep 30.
(PA) is a globally recognized cause of healthcare-associated infections (HAIs). The aim of our cross-sectional study, conducted in a Serbian tertiary care hospital, was to investigate clinical characteristics of HAIs caused by the PA, the prevalence of various drug-resistant phenotypes of this pathogen, and risk factors for their occurrence. Prolonged ICU stay and previous carbapenem administration were independent risk factors for HAIs caused by carbapenem-resistant PA, while HAIs caused by multidrug-resistant PA were more frequent in patients with prolonged stay in an ICU, who were previously hospitalized at another department and previously treated with aminoglycosides, fluoroquinolones or glycopeptides. The prolonged ICU stay was the only significant risk factor for HAIs caused by extensively drug-resistant PA. To decrease the incidence of HAIs caused by drug-resistant PA, a multifaceted approach is necessary, including staff education, antibiotic stewardship, improving hygiene, shortening hospitalization, and minimizing exposure to invasive medical procedures/devices.
鲍曼不动杆菌(PA)是全球公认的导致医源性感染(HAIs)的原因之一。我们在塞尔维亚的一家三级护理医院进行了一项横断面研究,旨在调查由鲍曼不动杆菌引起的 HAI 的临床特征、该病原体各种耐药表型的流行情况以及其发生的危险因素。在 ICU 中停留时间延长和之前使用碳青霉烯类药物是导致碳青霉烯类耐药鲍曼不动杆菌引起的 HAI 的独立危险因素,而在 ICU 中停留时间延长、曾在其他科室住院以及曾接受氨基糖苷类、氟喹诺酮类或糖肽类药物治疗的患者更容易发生多重耐药鲍曼不动杆菌引起的 HAI。在 ICU 中停留时间延长是导致广泛耐药鲍曼不动杆菌引起的 HAI 的唯一显著危险因素。为了降低耐药鲍曼不动杆菌引起的 HAI 的发生率,需要采取多方面的方法,包括对工作人员进行教育、抗生素管理、改善卫生、缩短住院时间和尽量减少侵入性医疗程序/设备的暴露。