Department of Hospital Hygiene, University of Debrecen Clinical Centre, 4032 Debrecen, Hungary.
Department of Health Informatics, Faculty of Health Sciences, University of Debrecen, 4028 Debrecen, Hungary.
Int J Environ Res Public Health. 2022 Nov 29;19(23):15935. doi: 10.3390/ijerph192315935.
Community-acquired infections (CAI) can affect the duration of care and mortality of patients. Therefore, we aimed to investigate these as well as factors influencing the length of hospital stay in patients with CAI due to enteric pathogens, influenza viruses and multidrug-resistant (MDR) bacteria. We obtained data on 531 patients with CAI from the medical databases of a Hungarian university hospital and analyzed their characteristics using a regression model. Patients with MDR bacterial infection had the highest mortality (26.24%) and they stayed significantly longer in the hospital than cases with other CAIs. Our results showed that infection by (odds ratio (OR): 6.98, 95% confidence interval (CI): 1.03-47.48; = 0.047), MDR (OR: 7.64, 95% CI: 1.24-47.17; = 0.029), MDR spp. (OR: 7.35, 95% CI: 1.15-47.07; = 0.035) and hospitalization in the department of pulmonology (OR: 5.48, 95% CI: 1.38-21.76; = 0.016) and surgery (OR: 4.19, 95% CI: 1.18-14.81; = 0.026) significantly increased, whereas female sex (OR: 0.62, 95% CI: 0.40-0.97; = 0.037) and hospitalization in the department of pediatrics (OR: 0.17, 95% CI: 0.04-0.64; = 0.009) decreased the odds of staying in the hospital for more than 6 days. Our findings provide new information on the epidemiology of CAI and can contribute to the development of public health programs that decrease the burden of infections acquired in the community.
社区获得性感染(CAI)会影响患者的治疗时间和死亡率。因此,我们旨在研究这些因素以及影响肠病原体、流感病毒和多重耐药(MDR)细菌引起的 CAI 患者住院时间的因素。我们从匈牙利一所大学医院的医学数据库中获取了 531 名 CAI 患者的数据,并使用回归模型分析了他们的特征。MDR 细菌感染患者的死亡率最高(26.24%),住院时间明显长于其他 CAI 患者。我们的研究结果表明,感染(优势比(OR):6.98,95%置信区间(CI):1.03-47.48; = 0.047)、MDR (OR:7.64,95% CI:1.24-47.17; = 0.029)、MDR spp.(OR:7.35,95% CI:1.15-47.07; = 0.035)和肺病科(OR:5.48,95% CI:1.38-21.76; = 0.016)以及外科(OR:4.19,95% CI:1.18-14.81; = 0.026)住院显著增加,而女性(OR:0.62,95% CI:0.40-0.97; = 0.037)和儿科住院(OR:0.17,95% CI:0.04-0.64; = 0.009)降低了住院超过 6 天的可能性。我们的研究结果提供了有关 CAI 流行病学的新信息,并有助于制定公共卫生计划,以减轻社区获得性感染的负担。