Changes in antimicrobial resistance and outcomes of health care-associated infections

被引:20
|
作者
Aydin, Mehtap [1 ]
Azak, Emel [2 ]
Bilgin, Huseyin [3 ]
Menekse, Sirin [4 ]
Asan, Ali [5 ]
Mert, Habibe Tulin Elmaslar [6 ]
Yulugkural, Zerrin [6 ]
Altunal, Lutfiye Nilsun [1 ]
Hatipoglu, Cigdem Ataman [7 ]
Ertem, Gunay Tuncer [7 ]
Altunok, Elif Sargin [8 ]
Demirkaya, Melike Hamiyet [9 ]
Ceviker, Sevil Alkan [10 ]
Akgul, Fethiye [11 ]
Memis, Zeynep [12 ]
Konya, Petek [13 ]
Azap, Alpay [14 ]
Aydin, Gule [14 ]
Korkmaz, Derya [15 ]
Karakoc, Zehra Cagla [16 ]
Yapar, Derya [17 ]
Karakecili, Faruk [18 ]
Gunal, Ozgur [19 ]
Keske, Siran [20 ]
Kapmaz, Mahir [20 ]
Kader, Cigdem [21 ]
Demirel, Aslihan [22 ]
Ergonul, Onder [20 ]
机构
[1] Umraniye Res & Training Hosp Univ Hlth Sci, Dept Infect Dis & Clin Microbiol, Adem Yavuz Cd, TR-34764 Istanbul, Turkey
[2] Kocaeli Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Kocaeli, Turkey
[3] Marmara Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey
[4] Kartal Kosuyolu Res & Training Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey
[5] Univ Hlth Sci, Dept Infect Dis & Clin Microbiol, Bursa, Turkey
[6] Trakya Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Edirne, Turkey
[7] Univ Hlth Sci Ankara Res & Training Hosp, Dept Infect Dis & Clin Microbiol, Ankara, Turkey
[8] Gaziosmanpasa Res & Training Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey
[9] Baskent Univ, Dept Infect Dis & Clin Microbiol, Sch Med, Ankara, Turkey
[10] Kutahya Hlth Sci Univ, Evliya Celebi Res & Training Hosp, Kutahya, Turkey
[11] Batman State Hosp, Dept Infect Dis & Clin Microbiol, Batman, Turkey
[12] Istanbul Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey
[13] Afyonkarahisar Univ Hlth Sci, Dept Infect Dis & Clin Microbiol, Afyon, Turkey
[14] Ankara Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Ankara, Turkey
[15] Afyonkarahisar State Hosp, Dept Infect Dis & Clin Microbiol, Afyon, Turkey
[16] Istinye Univ, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey
[17] Hitit Univ, Dept Infect Dis & Clin Microbiol, Sch Med, Corum, Turkey
[18] Erzincan Binali Yildirim Univ, Dept Infect Dis & Clin Microbiol, Sch Med, Erzincan, Turkey
[19] Univ Hlth Sci Samsun Res & Training Hosp, Samsun, Turkey
[20] Koc Univ, Dept Infect Dis & Clin Microbiol, Sch Med, Istanbul, Turkey
[21] Bozok Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Yozgat, Turkey
[22] Florans Nightingale Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey
关键词
Health care; associated infections; Blood stream infections; Colistin resistance;
D O I
10.1007/s10096-020-04140-y
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
To describe the change in the epidemiology of health care-associated infections (HAI), resistance and predictors of fatality we conducted a nationwide study in 24 hospitals between 2015 and 2018. The 30-day fatality rate was 22% in 2015 and increased to 25% in 2018. In BSI, a significant increasing trend was observed for Candida and Enterococcus. The highest rate of 30-day fatality was detected among the patients with pneumonia (32%). In pneumonia, Pseudomonas infections increased in 2018. Colistin resistance increased and significantly associated with 30-day fatality in Pseudomonas infections. Among S. aureus methicillin, resistance increased from 31 to 41%.
引用
收藏
页码:1737 / 1742
页数:6
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