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2009年至2020年全球感染临床特征的回顾性分析

Retrospective Analysis of the Clinical Characteristics of Infection Worldwide From 2009 to 2020.

作者信息

Hu Shan, Zhu Feilong, Jiang Weiwei, Wang Yuehua, Quan Yongqiang, Zhang Guoming, Gu Feng, Yang Ying

机构信息

Department of Biotechnology, Beijing Institute of Radiation Medicine, Beijing Key Laboratory of New Molecular Diagnosis Technologies for Infectious Diseases, Beijing, China.

Department of Laboratory Medicine, Xuzhou Tumor Hospital, Xuzhou, China.

出版信息

Front Microbiol. 2021 May 20;12:658329. doi: 10.3389/fmicb.2021.658329. eCollection 2021.

Abstract

INTRODUCTION

is an emerging multidrug-resistant fungus that may cause infections with a high mortality rate. The first case of infection was reported in 2009 and infections have been reported in 44 countries. The fungus now represents a major global public health threat. We analyzed cases from the emergence of infections up until the end of 2020. It is hoped that the results of this analysis will raise awareness in scientists to promote protection and control research pertaining to this pathogen.

METHODS

PubMed and Web of Science databases were searched for all papers related to infections up until December 31, 2020. We sorted and organized these data into the following categories: date of publication, patient age and sex, underlying diseases, risk factors for infection, patient mortality information, drug sensitivity information of isolates, and genetic classification. The χ test was used to screen for factors that may affect patient mortality.

RESULTS

A total of 912 patients were included in the analysis. There's a higher proportion of men and a high proportion of patients were premature babies and elderly people. The proportions of patients with underlying diseases such as diabetes, kidney disease, trauma, and ear disease were also high. More than half of patients had a history of central venous catheter use and a history of broad-spectrum antibiotic use. The χ test revealed that only kidney disease ( < 0.05) was an important risk factor for mortality in infected patients.

CONCLUSIONS

A comprehensive understanding of was achieved following this retrospective analysis, including the characteristics of -infected patients. In recent years, increasing numbers of multidrug-resistant isolates have been identified, and the high mortality rates associated with infection merit greater attention from the medical world.

摘要

引言

是一种新兴的多重耐药真菌,可能导致感染,死亡率很高。2009年报告了首例感染病例,44个国家都有感染病例报告。这种真菌现在是全球主要的公共卫生威胁。我们分析了从感染出现到2020年底的病例。希望该分析结果能提高科学家的认识,以促进针对这种病原体的保护和控制研究。

方法

在PubMed和Web of Science数据库中检索截至2020年12月31日与感染相关的所有论文。我们将这些数据分类整理如下:发表日期、患者年龄和性别、基础疾病、感染危险因素、患者死亡率信息、分离株的药敏信息以及基因分类。采用χ检验筛选可能影响患者死亡率的因素。

结果

共纳入912例患者进行分析。男性比例较高,早产婴儿和老年人比例也较高。患有糖尿病、肾病、创伤和耳部疾病等基础疾病的患者比例也较高。超过一半的患者有中心静脉导管使用史和广谱抗生素使用史。χ检验显示,只有肾病(<0.05)是感染患者死亡的重要危险因素。

结论

通过本次回顾性分析,对有了全面的了解,包括感染患者的特征。近年来,已鉴定出越来越多的多重耐药分离株,与感染相关的高死亡率值得医学界给予更多关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c44c/8173142/051a40dfb964/fmicb-12-658329-g001.jpg

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