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耐碳青霉烯类肠杆菌科细菌引起的医院获得性感染:一项观察性研究。

Hospital-Acquired Infections Caused by Carbapenem-Resistant Enterobacteriaceae: An Observational Study.

作者信息

Aldali Hamzah J, Khan Azra, Alshehri Abdullah A, Aldali Jehad A, Meo Sultan Ayoub, Hindi Ali, Elsokkary Emadeldin M

机构信息

Cellular and Molecular Medicine, College of Biomedical Science, University of Bristol, Bristol BS8 1DT, UK.

School of Life Sciences, Faculty of Health & Life Sciences, Coventry University, Coventry CV2 2DX, UK.

出版信息

Microorganisms. 2023 Jun 16;11(6):1595. doi: 10.3390/microorganisms11061595.

Abstract

Worldwide, hospital-acquired infections (HAIs) are continuously rising within healthcare settings, leading to high mortality and morbidity rates. Many hospitals have reported the spread of carbapenemases globally, specifically within the and species. This study was aimed at analyzing the state of hospital-acquired, carbapenem-resistant and in the United Kingdom between 2009 and 2021. Moreover, the study analyzed the most efficacious approaches to patient management for controlling the carbapenem-resistant Enterobacteriaceae (CRE) spread. Initially, 1094 articles were identified as relevant for screening, and among them, 49 papers were eligible for full-text screening, with a total of 14 articles meeting the inclusion criteria. The information was recorded from published articles through PubMed, the Web of Science, Scopus, Science Direct, and the Cochrane library and was used to search for hospital-acquired carbapenem-resistant and in the UK between 2009 and 2021, in order to evaluate the spread of CRE in hospitals. The total number of carbapenem-resistant was 1083 and this was 2053 for carbapenem-resistant in more than 63 UK hospitals. KPC was the dominant carbapenemase produced by . The results showed that the treatment options considered depended on the type of carbapenemase produced; showed more resistance to a treatment options, i.e., Colistin, than the other carbapenemase. The current state of the UK is at minimal risk for a CRE outbreak; however, appropriate treatment and infection control measures are highly required to prevent this CRE spread at the regional and global levels. The present study findings have an important message for physicians, healthcare workers, and policymakers about hospital-acquired carbapenem-resistant and spread and approaches to patient management.

摘要

在全球范围内,医院获得性感染(HAIs)在医疗机构中持续增加,导致高死亡率和发病率。许多医院报告了碳青霉烯酶在全球范围内的传播,特别是在某两个物种内。本研究旨在分析2009年至2021年期间英国医院获得性耐碳青霉烯某两个物种的情况。此外,该研究分析了控制耐碳青霉烯肠杆菌科(CRE)传播的最有效患者管理方法。最初,确定了1094篇文章与筛选相关,其中49篇文章符合全文筛选条件,共有14篇文章符合纳入标准。通过PubMed、科学网、Scopus、科学直投和考科蓝图书馆从已发表文章中记录信息,并用于搜索2009年至2021年期间英国医院获得性耐碳青霉烯某两个物种,以评估CRE在医院中的传播情况。耐碳青霉烯某一个物种的总数为1083例,在英国63多家医院中,耐碳青霉烯另一个物种的数量为2053例。KPC是某一个物种产生的主要碳青霉烯酶。结果表明,所考虑的治疗方案取决于产生的碳青霉烯酶类型;某一个物种对一种治疗方案(即黏菌素)的耐药性比其他碳青霉烯酶更强。英国目前处于CRE爆发的最低风险状态;然而,迫切需要采取适当的治疗和感染控制措施,以防止CRE在区域和全球层面的传播。本研究结果为医生、医护人员和政策制定者提供了关于医院获得性耐碳青霉烯某两个物种传播及患者管理方法的重要信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c463/10303007/b882dbe080a0/microorganisms-11-01595-g001.jpg

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