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约旦一家三级医院抗菌药物耐药性的5年回顾性分析

The Antimicrobial Resistance of : A 5-Year Retrospective Analysis at a Tertiary Hospital in Jordan.

作者信息

Abu-Humaidan Anas H, Alshdaifat Areen, Awajan Dima, Abu-Hmidan Mohammad, Alshdifat Abeer, Hasan Hanan, Ahmad Fatima M, Alaridah Nader, Irshaid Amal, Yamin Dina

机构信息

Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman 11942, Jordan.

Department of Clinical Pharmacy and Therapeutics, Applied Science Private University, Amman 11931, Jordan.

出版信息

J Fungi (Basel). 2025 Jan 23;11(2):87. doi: 10.3390/jof11020087.

Abstract

infections are a global health concern, increasingly complicated by rising antimicrobial resistance (AMR). This study analyzed the prevalence and AMR patterns of circulating species in Amman, Jordan, using electronic records from a tertiary teaching hospital's microbiology lab (from 2017 to 2022). Complete records of isolates (n = 2673) were assessed by sample type, species, and AMR. Among positive blood samples, accounted for the majority (38.7%), followed by (19.0%), (18.3%), (14.6%), and (9.5%). Non- species demonstrated higher resistance to Caspofungin, notably (23.1%), (30.0%), and (32.0%), compared to (1.9%). In high vaginal swabs, was most prevalent (63.7%), with also notable (28.6%); Fluconazole resistance in remained low (2.0%). Across all pooled isolates, AMR was similar between inpatients and outpatients, except for Micafungin, where inpatient resistance was significantly higher. In conclusion, non- species predominated in blood infections and demonstrated pronounced AMR. Micafungin resistance was notably higher among inpatients. Variations in species and AMR by sample type suggest that aggregating samples in registry studies may obscure critical patterns.

摘要

感染是一个全球卫生问题,日益因抗菌药物耐药性(AMR)的上升而变得复杂。本研究利用一家三级教学医院微生物实验室的电子记录(2017年至2022年),分析了约旦安曼市流行菌种的患病率和AMR模式。通过样本类型、菌种和AMR对分离株的完整记录(n = 2673)进行了评估。在阳性血样中,[具体菌种1]占多数(38.7%),其次是[具体菌种2](19.0%)、[具体菌种3](18.3%)、[具体菌种4](14.6%)和[具体菌种5](9.5%)。与[具体菌种6](1.9%)相比,非[具体菌种6]的菌种对卡泊芬净表现出更高的耐药性,尤其是[具体菌种7](23.1%)、[具体菌种8](30.0%)和[具体菌种9](32.0%)。在高阴道拭子中,[具体菌种10]最为常见(63.7%),[具体菌种11]也较为显著(28.6%);[具体菌种10]对氟康唑的耐药性仍然较低(2.0%)。在所有汇总的分离株中,住院患者和门诊患者的AMR情况相似,但米卡芬净除外,住院患者的耐药性明显更高。总之,非[具体菌种6]的菌种在血液感染中占主导地位,并表现出明显的AMR。住院患者中米卡芬净耐药性明显更高。不同样本类型的菌种和AMR差异表明,在登记研究中汇总样本可能会掩盖关键模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34b6/11857050/a1e0175bed84/jof-11-00087-g001.jpg

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