印度东北部一家三级医疗中心医院获得性败血症的临床谱及危险因素
Clinical spectrum and risk factors for hospital-acquired septicemia in a tertiary care centre of North-East India.
作者信息
Kabi Ankita, Mohanty Aroop, Kumar Shyam Kishor, Singh Vanya, Jha Mithilesh Kumar, Gupta Pratima
机构信息
Department of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
出版信息
J Family Med Prim Care. 2020 Aug 25;9(8):3949-3954. doi: 10.4103/jfmpc.jfmpc_469_20. eCollection 2020 Aug.
INTRODUCTION
Although several studies have shown an increasing prevalence of sepsis due to multidrug-resistant organisms, specific data on hospital-acquired septicemia is lacking.
MATERIALS AND METHODS
An observational prospective study was carried out for a duration of 1 year in which patients developing hospital-acquired septicemia were included and their disease spectrum and associated risk factors were analyzed.
RESULTS
Among a total of 350 patients, 145 came out to be culture positive. Genitourinary infections were the most common infections encountered in this study, whereas the presence of invasive device came out to be the most prevalent risk factor.
CONCLUSION
Septicemia is still a rising problem; hence, we should manage it carefully. Coagulase-negative can no longer be considered as contaminants and it should be treated as pathogens.
引言
尽管多项研究表明，耐多药微生物导致的脓毒症患病率呈上升趋势，但关于医院获得性败血症的具体数据仍很缺乏。
材料与方法
进行了一项为期1年的观察性前瞻性研究，纳入发生医院获得性败血症的患者，并分析其疾病谱和相关危险因素。
结果
在总共350例患者中，145例血培养呈阳性。泌尿生殖系统感染是本研究中最常见的感染类型，而侵入性器械的使用是最普遍的危险因素。
结论
败血症仍然是一个日益严重的问题；因此，我们应谨慎处理。凝固酶阴性菌不能再被视为污染物，而应被视为病原体进行治疗。
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