Prevalence of Multidrug Resistant Organisms in Inter-Hospital Transferred Critically Ill Patients
Journal of Acute Care Surgery
;
(2): 9-14, 2017.
Artigo
em Coreano
| WPRIM
| ID: wpr-653041
ABSTRACT
PURPOSE:
To assess the prevalence of multidrug-resistant organisms (MDROs) in inter-hospital transferred critically ill patients.METHODS:
This is a retrospective study. The study population comprised patients who were transferred from other hospitals or health care units into the medical or surgical intensive care unit of Samsung Medical Center from January 2012 to December 2014. We evaluated the acquisition of clinically significant MDROs including methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococci (VRE), extended-spectrum beta-lactamase (ESBL)-producing Gram-negative bacteria, and carbapenem- resistant Gram-negative bacteria (CRGNB).RESULTS:
Three hundred and twenty-one patients were included in this study. One hundred and fifty-one patients (47.0%) had at least one species of MDRO, 21.5% in MRSA, 27.1% in VRE, 15.6% in CRGNB, and 3.7% in ESBL. The prevalence of MDROs was significantly higher in male (52.7%), patients with diabetes (61.6%), patients with combined infectious diseases (51.6%), and medical patients (49.3%). Patients with MRSA had significantly longer length of stay than the patients without MRSA. The patients with CRGNB had higher mortality than the patients without CRGNB.CONCLUSION:
The prevalence of MDROs in inter-hospital transferred critically ill patients was very high. Patients with MDROs in this study had longer hospital stay and higher mortality. These patients require more attention for isolation and hygiene protocols, and antibiotic choices.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Beta-Lactamases
/
Higiene
/
Doenças Transmissíveis
/
Prevalência
/
Estudos Retrospectivos
/
Mortalidade
/
Estado Terminal
/
Cuidados Críticos
/
Atenção à Saúde
/
Staphylococcus aureus Resistente à Meticilina
Tipo de estudo:
Guia de Prática Clínica
/
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of Acute Care Surgery
Ano de publicação:
2017
Tipo de documento:
Artigo
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