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菌血症的临床和微生物学特征:一所大学医院20年的经验

Clinical and Microbiological Characteristics of Bacteremia: A 20-Year Experience in a Single University Hospital.

作者信息

Chang Jeonghyun, Kim Sollip, Kwak Yee Gyung, Um Tae Hyun, Cho Chong Rae, Song Je Eun

机构信息

Department of Laboratory Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.

Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Infect Chemother. 2023 Sep;55(3):322-327. doi: 10.3947/ic.2022.0133. Epub 2023 Feb 20.

Abstract

BACKGROUND

is ubiquitous in nature and rarely causes infections. However, the clinical impact of has increased in recent years, especially in immunocompromised patients, and has resulted in high mortality rates. We aimed to investigate the clinical and microbiological characteristics of bacteremia.

MATERIALS AND METHODS

We retrospectively reviewed medical records of a 642-bed university-affiliated hospital in Korea, dating from January 2001 to December 2020, to investigate bacteremia.

RESULTS

A total of 22 isolates were identified from blood culture records. All patients were hospitalized at the time of bacteremia, and the most common manifestation was primary bacteremia. A sizable majority of the patients (83.3%) had underlying diseases, and all patients received intensive care unit care during their admission. The 14-day and 28-day mortality rates were 8.3% and 16.7%, respectively. Importantly, all isolates were 100% susceptible to trimethoprim-sulfamethoxazole.

CONCLUSION

In our study, most of the infections were hospital-acquired, and the susceptibility pattern of the isolates showed multidrug resistance. However, trimethoprim-sulfamethoxazole is a potentially useful antibiotic for bacteremia treatment. More attention is required to identify as one of the most important nosocomial bacteria with detrimental effects in immunocompromised patients.

摘要

背景

在自然界中普遍存在,很少引起感染。然而,近年来其临床影响有所增加,尤其是在免疫功能低下的患者中,并导致了高死亡率。我们旨在调查菌血症的临床和微生物学特征。

材料与方法

我们回顾性分析了韩国一家拥有642张床位的大学附属医院从2001年1月至2020年12月的病历,以调查菌血症情况。

结果

从血培养记录中总共鉴定出22株分离株。所有患者在发生菌血症时均已住院,最常见的表现是原发性菌血症。绝大多数患者(83.3%)有基础疾病,所有患者在住院期间均接受了重症监护病房护理。14天和28天死亡率分别为8.3%和16.7%。重要的是,所有分离株对复方新诺明均100%敏感。

结论

在我们的研究中,大多数感染是医院获得性的,分离株的药敏模式显示出多重耐药性。然而,复方新诺明是治疗菌血症的一种潜在有用的抗生素。需要更多关注将其确定为免疫功能低下患者中具有有害影响的最重要的医院细菌之一。

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