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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 61 - 69 (9page)
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Purpose: Healthcare-associated infections (HAIs) in urological patients have special features due to specific risk factors. Our objective was to evaluate the characteristics and risk factors for HAIs in patients hospitalized in a Urology ward. Materials and Methods: We evaluated prospectively, from 2012 to 2015, the incidence, types and risk factor for HAIs, microbiological and resistance patterns. Results: The incidence of HAIs was 6.3%. The most common types were urinary infections (70.5%) and surgical site infections (22.1%). Univariate analysis showed an increased risk of HAIs among patients with American Society of Anesthesiologists physical status classification system III–IV (odds ratio [OR], 1.39; p<0.001), immunosuppression (OR, 1.80; p=0.013), previous urinary infection (OR, 4.46; p<0,001), and urinary catheter before admission (OR, 1.74; p<0.001). The surgical procedures with the highest incidence of HAIs were radical cystectomy (54.2%) and renal surgery (8.7%). The most frequently isolated microorganisms were Escherichia coli (25.1%), Enterococcus spp. (17.5%), Klebsiella spp. (13.5%) and Pseudomonas aeruginosa (12.3%). Enterococcus sp was the most common microorganism after radical cystectomy and in surgical site infections, E. coli showed resistance rates of 53.5% for fluoroquinolones, 9.3% for amikacin. The percentage of extended-spectrum betalactamase producing E. coli was 24.7%. Klebsiella spp. showed resistance rates of 47.8% for fluoroquinolones, 7.1% for amikacin and 4.3% for carbapenems. Enterococcus spp showed resistance rates of 1.7% for vancomycin and; P. aeruginosa of 33.3% for carbapenems and 26.2% for amikacin. Conclusions: Comorbidities, previous urinary infections, and urinary catheter are risk factors for HAIs. The microorganisms most commonly isolated were E. coli, Enterococcus and P. aeruginosa. Prospective monitoring may decrease the incidence of infections.
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참고문헌 (30)
참고문헌 신청
Horcajada JP / 2013 / Healthcare-associated, community-acquired and hospital-acquired bacteraemic urinary tract infections in hospitalized patients: a prospective multicentre cohort study in the era of antimicrobial resistance / Clin Microbiol Infect 19:962~968
Friedman ND / 2002 / Health care--associated bloodstream infections in adults: a reason to change the accepted definition of community-acquired infections / Ann Intern Med 137:791~797
Horan TC / 2008 / CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting / Am J Infect Control 36:309~332
Lee SY / 2006 / Impact of extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella species on clinical outcomes and hospital costs: a matched cohort study / Infect Control Hosp Epidemiol 27:1226~1232
Johansen TE / 2004 / Nosocomially acquired urinary tract infectionsin urology departments. Why an international prevalence study is needed in urology / Int J Antimicrob Agents 23(1):S30~34
Friedman ND / 2002 / Health care--associated bloodstream infections in adults: a reason to change the accepted definition of community-acquired infections / Ann Intern Med 137:791~797
Horan TC / 2008 / CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting / Am J Infect Control 36:309~332
Lee SY / 2006 / Impact of extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella species on clinical outcomes and hospital costs: a matched cohort study / Infect Control Hosp Epidemiol 27:1226~1232
Johansen TE / 2004 / Nosocomially acquired urinary tract infectionsin urology departments. Why an international prevalence study is needed in urology / Int J Antimicrob Agents 23(1):S30~34
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