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首页> 外文期刊>Clinical microbiology and infection: European Society of Clinical Microbiology and Infectious Diseases >Regional distribution of nosocomial infections due to ESBL-positive Enterobacteriaceae in Germany: data from the German National Reference Center for the Surveillance of Nosocomial Infections (KISS).
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Regional distribution of nosocomial infections due to ESBL-positive Enterobacteriaceae in Germany: data from the German National Reference Center for the Surveillance of Nosocomial Infections (KISS).

机译：德国ESBL阳性肠杆菌科细菌引起的医院感染的区域分布：德国国家医院感染监测参考中心（KISS）的数据。

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摘要

Surveillance systems for hospital infections are reporting increasing rates of extended-spectrum β-lactamase (ESBL)-positive Enterobacteriaceae in Europe. We aimed to perform a national survey on this trend and on the regional distribution of nosocomial infections due to ESBL-positive Enterobacteriaceae in German hospitals. Data from 2007 to 2012 from two components of the German national nosocomial infection surveillance system were used for this analysis. The data derive from intensive care units and surgical departments. Independent factors determining the proportion of ESBL-positive Enterobacteriaceae among nosocomial infections due to Enterobacteriaceae and changes in its regional distribution (broken down into German federal states) were calculated by regression analysis. From 2007 to 2012, the data showed a significantly increasing proportion of ESBL-positive Enterobacteriaceae in surgical site infections (from 11.46 to 15.38, 134%, p 0.003), urinary tract infections (9.36 to 16.56, 177%, p <0.001) and lower respiratory tract infections (11.91 to 14.70, 123%, p <0.001) due to Enterobacteriaceae. Factors independently associated with a growing proportion were: Thuringia (p 0.009; odds ratio (OR) 1.53), North Rhine-Westphalia (p <0.001; OR 1.41) and general surgery ward (p 0.002; OR 1.47). The proportion of ESBL-positive Enterobacteriaceae in nosocomial infections has significantly increased in Germany over the last 6 years. Hospitals in Central Germany and surgical departments in all of Germany are especially affected by this development.
机译：在欧洲，用于医院感染的监测系统报告说，广谱β-内酰胺酶（ESBL）阳性肠杆菌科的发病率正在上升。我们旨在针对这种趋势以及德国医院中ESBL阳性肠杆菌科细菌引起的医院感染的区域分布进行全国调查。该分析使用了德国国家医院感染监测系统两个组成部分中2007年至2012年的数据。数据来自重症监护病房和外科部门。通过回归分析计算出独立的因素，这些因素决定了由肠杆菌科引起的医院感染中ESBL阳性肠杆菌科的比例及其区域分布的变化（细分为德国联邦州）。从2007年到2012年，数据显示ESBL阳性肠杆菌科在手术部位感染（从11.46到15.38，134％，p 0.003），尿路感染（9.36到16.56，177％，p <0.001）和显着增加。肠杆菌科细菌引起的下呼吸道感染（11.91至14.70，123％，p <0.001）。独立于增长比例的因素有：图林根（p 0.009;优势比（OR）1.53），北莱茵-威斯特法伦州（p <0.001; OR 1.41）和普通外科病房（p 0.002; OR 1.47）。在过去的6年中，德国ESBL阳性肠杆菌科在医院感染中的比例已显着增加。这一发展尤其影响了德国中部的医院和全德国的外科部门。

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