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首页> 外文期刊>Diagnostic microbiology and infectious disease >Microbial etiology and antimicrobial resistance in healthcare-associated versus community-acquired and hospital-acquired bloodstream infection in a tertiary care hospital
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Microbial etiology and antimicrobial resistance in healthcare-associated versus community-acquired and hospital-acquired bloodstream infection in a tertiary care hospital

机译:三级保健医院医疗保健相关感染与社区获得性感染和医院获得性血液感染的微生物病因和抗药性

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摘要

Infections that occur in patients with significant exposure to the nosocomial environment while they reside in the community are currently classified separately as healthcare-associated infections. In this retrospective study, conducted at Ghent University Hospital between January 1, 2009, and May 31, 2011, we compared microbial characteristics of healthcare-associated bloodstream infection (HCAB) with that of community-acquired bloodstream infection (CAB) and hospital-acquired bloodstream infection (HAB). Three hundred eighty-six pathogens isolated from patients with HCAB were compared with 141 and 605 pathogens identified in patients with CAB and HAB, respectively. HCAB was associated with a distinct pathogen profile and with an antimicrobial susceptibility pattern different from that of other categories of bloodstream infection. We conclude that the concept of HCAB provides guidance in the choice of empirical antibiotic therapy but should be translated according to local epidemiology.
机译:目前,在居住在社区中且暴露于医院环境的患者中发生的感染目前被分别归类为医疗保健相关感染。在这项于2009年1月1日至2011年5月31日之间在根特大学医院进行的回顾性研究中,我们比较了医疗相关血液感染(HCAB)与社区获得性血液感染(CAB)和医院获得性细菌感染的微生物特征血流感染(HAB)。将HCAB患者分离出的386种病原体与CAB和HAB患者分别鉴定出的141种和605种病原体进行了比较。 HCAB与独特的病原体特征以及与其他类别的血液感染的抗菌药敏感性模式有关。我们得出的结论是,HCAB的概念为选择经验性抗生素治疗提供了指导,但应根据当地的流行病学进行翻译。

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