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2010 年至 2019 年综合医院血流感染的流行病学特征及耐药性分析。

Epidemiological Characteristics and Drug Resistance of Fungemia in General Hospitals from 2010 to 2019.

机构信息

Department of Disease Control and Prevention, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China.

Fuxing Road Outpatient Department, Jingnan Medical District of Chinese PLA General Hospital, Fuxing Road No. 22, Beijing 100842, China.

出版信息

Biomed Res Int. 2021 Nov 2;2021:2529171. doi: 10.1155/2021/2529171. eCollection 2021.

Abstract

OBJECTIVE

This study intends to analyze the data of fungemia in a large tertiary hospital from 2010 to 2019, and is aimed at understanding its epidemic characteristics and drug resistance.

METHODS

The "Hospital Infection Real-Time Monitoring System" was used to retrieve the case information of patients who were hospitalized for more than 48 hours from 2010 to 2019. The questionnaire was designed to collect patients' basic information, infection situation, drug resistance, and other related information. Statistical software was used for analysis.

RESULTS

The fungi detection rate was in the range of 0.19%0.75% in ten years, the average rate was 0.29%, and the rate 0.2%0.3% since 2013, which was lower than that from 2010 to 2012. Non- was the main fungus, accounting for 62.50%. The drug resistance of non- was higher than that of , among which had the highest resistance rate. Data analysis showed that the patients with more serious basic diseases, combined with infection of other sites, surgery, long hospital stay, combination of antibiotics, and invasive catheterization, were more likely to occur fungemia.

CONCLUSION

We should pay more attention to the patients with high-risk factors of fungemia and focus on the drug resistance of non-, choose the right antifungal drugs, so as to improve the level of diagnosis and treatment.

摘要

目的

本研究旨在分析某大型三甲医院 2010 年至 2019 年的血流真菌感染数据,旨在了解其流行病学特征和耐药性。

方法

采用“医院感染实时监控系统”,检索 2010 年至 2019 年住院时间超过 48 小时患者的病例信息。设计问卷收集患者的基本信息、感染情况、耐药性等相关信息。采用统计软件进行分析。

结果

十年间真菌检出率波动在 0.19%0.75%,平均为 0.29%,自 2013 年以来检出率在 0.2%0.3%,低于 2010 年至 2012 年。非念珠菌属真菌是主要真菌,占 62.50%。非念珠菌属真菌的耐药率高于念珠菌属,其中最高耐药率为 。数据分析显示,基础疾病较严重、合并其他部位感染、手术、住院时间长、联合应用抗生素、有侵入性导管置入的患者更易发生血流真菌感染。

结论

应更加关注血流真菌感染的高危人群,重视非念珠菌属真菌的耐药性,选择合适的抗真菌药物,提高诊治水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cb/8577933/0c76215d99f5/BMRI2021-2529171.001.jpg

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