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感染的流行病学、临床特征和抗菌药物敏感性:来自沙特阿拉伯一家三级保健医院的见解。

Epidemiology, clinical profiles, and antimicrobial susceptibility of infections: Insights from a tertiary care hospital in Saudi Arabia.

机构信息

From the Department of Pediatrics (Alhuthil, Alyabes, Alsuhaibani, Gashgarey, Alghamdi, Albanyan, Aljumaah, Al-Hajjar), King Faisal Specialist Hospital & Research Centre, and from the College of Medicine (Hijazi, Alyabes, Alsuhaibani, Binsalamah, Aldahmash, Alghamdi, Albanyan, Aljumaah, Al-Hajjar), Alfaisal University, Riyadh, Kingdom of Saudi Arabia.

出版信息

Saudi Med J. 2024 Aug;45(8):840-847. doi: 10.15537/smj.2024.45.8.20240279.

Abstract

OBJECTIVES

To investigate the incidence rate, clinical characteristics across different age groups, antimicrobial susceptibility, and outcomes of () infections.

METHODS

A retrospective analysis was carried out to include 66 cases with confirmed cultures from sterile samples between January 2014 and June 2022 at King Faisal Specialist Hospital and Research Centre in Riyadh, Saudi Arabia.

RESULTS

A total of 66 cases were identified, with an incidence rate of 0.3 per 1000 admissions. Most cases were hospital-acquired (80.3%), primarily in critical care areas. All patients had underlying diseases, with respiratory (40.9%) and cardiovascular (39.4%) diseases being the most common. Minocycline showed the highest susceptibility (96.0%), followed by trimethoprim/sulfamethoxazole (77.0%), whereas tobramycin and colistin were fully resistant. The in-hospital mortality rate was 34.8%, whereas the 28-day mortality rate was 22.7%. Clinical characteristics across age groups showed a higher prevalence of cardiovascular disease in pediatrics than in adults, whereas exposure to mechanical ventilation, immunosuppressive therapy, previous infection, anemia, and in-hospital mortality were reported more frequently in adults (<0.05).

CONCLUSION

Our study provides valuable insights into infection in Saudi Arabia, emphasizing the importance of robust infection control measures. Incidence and mortality rates align with global trends. Variations in clinical characteristics across age groups highlight the importance of tailored treatments based on patient demographics and underlying comorbidities.

摘要

目的

调查()感染的发生率、不同年龄组的临床特征、抗菌药物敏感性和结局。

方法

对 2014 年 1 月至 2022 年 6 月在沙特阿拉伯利雅得的法伊萨尔国王专科医院和研究中心无菌样本中培养确认的 66 例()感染患者进行回顾性分析。

结果

共确定 66 例患者,发病率为每 1000 例住院患者 0.3 例。大多数病例为医院获得性感染(80.3%),主要发生在重症监护病房。所有患者均有基础疾病,其中呼吸系统(40.9%)和心血管系统(39.4%)疾病最为常见。米诺环素的敏感性最高(96.0%),其次是复方磺胺甲噁唑(77.0%),而妥布霉素和粘菌素完全耐药。住院死亡率为 34.8%,28 天死亡率为 22.7%。不同年龄组的临床特征显示,儿科心血管疾病的患病率高于成人,而机械通气、免疫抑制治疗、既往感染、贫血和住院死亡率在成人中更为常见(<0.05)。

结论

本研究提供了有关沙特阿拉伯()感染的有价值的信息,强调了采取强有力的感染控制措施的重要性。发病率和死亡率与全球趋势一致。不同年龄组的临床特征差异强调了根据患者人口统计学和基础合并症制定个体化治疗方案的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b78/11288499/36553bac736e/SaudiMedJ-45-8-840_1.jpg

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