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首页> 外文期刊>International journal of antimicrobial agents >Antimicrobial resistance of bacterial isolates from respiratory care wards in Taiwan: A horizontal surveillance study comparison of the characteristics of nosocomial infection and antimicrobial-resistant bacteria in adult Intensive Care Units and two respiratory care facilities for mechanically ventilated patients at a tertiary care centre in Taiwan
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Antimicrobial resistance of bacterial isolates from respiratory care wards in Taiwan: A horizontal surveillance study comparison of the characteristics of nosocomial infection and antimicrobial-resistant bacteria in adult Intensive Care Units and two respiratory care facilities for mechanically ventilated patients at a tertiary care centre in Taiwan

机译：台湾呼吸科病房细菌分离株的抗药性：水平监测研究比较了台湾三级护理中心成人重症监护病房和两个机械通气患者的呼吸道护理设施的医院感染和耐药菌的特征

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The objectives of this study were to compare the incidence of nosocomial infections (NIs) and the distribution of resistant nosocomial pathogens in adult Intensive Care Units (ICUs) and two respiratory care facilities for prolonged mechanically ventilated patients [i.e. the respiratory care centre (RCC) and the respiratory care ward (RCW)] in a 1100-bed tertiary care hospital in Taiwan from 2003 to 2006. The overall incidences of NI for adult ICUs, the RCC and the RCW were 14.0, 10.3 and 5.0 per 1000 patient-days, respectively. Urinary tract infections, bloodstream infections and pneumonias occurred most frequently. The most common reported microorganisms in adult ICUs were non-fermentative Gram-negative bacilli (NFGNB) (33.0%), Enterobacteriaceae (26.5%), Candida spp. (18.2%), Staphylococcus aureus (8.9%), coagulase-negative staphylococci (CoNS) (4.9%) and enterococci (4.5%). In comparison, RCW patients had a higher proportion of NIs caused by S. aureus [odds ratio (OR) = 1.9], enterococci (OR = 2.2) and Enterobacteriaceae (OR = 2.2), but a lower proportion of CoNS (OR = 0.3), NFGNB (OR = 0.5) and Candida spp. (OR = 0.2). RCW patients had higher incidence rates of meticillin-resistant S. aureus (OR = 4.91) and extended-spectrum β-lactamase-producing Enterobacteriaceae (OR = 4.06) than ICU patients. Further study is needed to delineate the mechanisms responsible for the differences in resistance profile amongst pathogens associated with nosocomial infection in ICUs, RCCs and RCWs.
机译：这项研究的目的是比较成人重症监护病房（ICU）和两个呼吸道通畅的机械通气患者的医院感染（NIs）发生率和耐药性医院病原体的分布情况。于2003年至2006年在台湾拥有1100张病床的三级护理医院中的呼吸护理中心（RCC）和呼吸护理病房（RCW）。成人ICU，RCC和RCW的NI总体发生率分别为14.0、10.3和每1000个病人日5.0个。尿路感染，血液感染和肺炎最常见。在成人ICU中最常见的报告微生物是非发酵性革兰氏阴性杆菌（NFGNB）（33.0％），肠杆菌科（26.5％）和假丝酵母。 （18.2％），金黄色葡萄球菌（8.9％），凝固酶阴性葡萄球菌（CoNS）（4.9％）和肠球菌（4.5％）。相比之下，RCW患者中由金黄色葡萄球菌引起的NIs比例较高[几比（OR）= 1.9]，肠球菌（OR = 2.2）和肠杆菌科（OR = 2.2），而CoNS的比例较低（OR = 0.3 ），NFGNB（OR = 0.5）和假丝酵母菌。 （OR = 0.2）。 RCW患者的耐甲氧西林金黄色葡萄球菌（OR = 4.91）和产生广谱β-内酰胺酶的肠杆菌科（OR = 4.06）的发生率高于ICU患者。需要进一步的研究来描述造成ICU，RCC和RCW中医院感染相关病原体耐药性差异的机制。

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