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[某物种]与其他[物种]临床特征及抗菌药物耐药性的比较分析

Comparative Analysis of Clinical Characteristics and Antimicrobial Resistance Between and Other Species.

作者信息

Kim Si-Ho, Mun Seok Jun

机构信息

Division of Infectious Diseases, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of Korea.

Division of Infectious Diseases, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan 47392, Republic of Korea.

出版信息

Pathogens. 2025 Jan 8;14(1):46. doi: 10.3390/pathogens14010046.

Abstract

species are major pathogens responsible for hospital-acquired infections. This study aimed to compare the clinical characteristics, outcomes, and antimicrobial resistance between (AB) and non- (NBA) species. In this retrospective cohort study, we analyzed data from adult patients (aged 18 or older) with bacteremia treated at two tertiary hospitals from July 2020 to November 2023. Among 260 cases of bacteremia, 42 (16.2%) involved NBA species. The AB group exhibited higher antimicrobial resistance rates across all tested agents, except for minocycline. Female patients, younger patients, and those with catheter-related infections were more commonly observed in the NBA group than in the AB group, while pneumonia and septic shock were more prevalent in the AB group. In a multivariable analysis of 30-day mortality, factors associated with higher mortality included moderate to severe liver disease, chronic kidney disease, carbapenem resistance, septic shock, and higher Pitt Bacteremia Scores. When stratified by carbapenem resistance (CR) status, only CR-AB exhibited significantly lower 30-day survival rate (33.4%) compared to that of the other groups (non-CR-NBA, 77.3%; CR-NBA, 77.8%; non-CR-AB, 90.1%; < 0.001). Our findings highlight distinct clinical differences between AB and NBA bacteremia cases; however, the mortality rate for non-CR-AB was comparable to that observed in NBA bacteremia.

摘要

[具体细菌名称]是医院获得性感染的主要病原体。本研究旨在比较[具体细菌名称](AB)和非[具体细菌名称](NBA)之间的临床特征、结局及抗菌药物耐药性。在这项回顾性队列研究中,我们分析了2020年7月至2023年11月在两家三级医院接受治疗的成年(年龄≥18岁)[具体细菌名称]菌血症患者的数据。在260例[具体细菌名称]菌血症病例中,42例(16.2%)涉及NBA菌种。除米诺环素外,AB组对所有测试药物的抗菌药物耐药率均较高。与AB组相比,NBA组女性患者、年轻患者及导管相关感染患者更为常见,而AB组肺炎和感染性休克更为普遍。在30天死亡率的多变量分析中,与较高死亡率相关的因素包括中重度肝病、慢性肾脏病、碳青霉烯类耐药、感染性休克及较高的皮特菌血症评分。按碳青霉烯类耐药(CR)状态分层时,只有CR-AB的30天生存率(33.4%)显著低于其他组(非CR-NBA,77.3%;CR-NBA,77.8%;非CR-AB,90.1%;P<0.001)。我们的研究结果突出了AB菌血症和NBA菌血症病例之间明显的临床差异;然而,非CR-AB的死亡率与NBA菌血症观察到的死亡率相当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5a8/11768325/28455d5c09b3/pathogens-14-00046-g001.jpg

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