IF 3 4区 医学 Q2 INFECTIOUS DISEASES
Margaret Kyamulabi, Jonathan Izudi, Andrew Mujugira, Stephen Okoboi
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引用次数: 0

摘要

导言:重症监护病房(ICU)和高度依赖病房(HDU)护理的都是危重病人,其中许多人都患有多重耐药菌(MDR)。我们调查了坎帕拉三家重症监护室和两家重症监护室病人医疗档案表面 MDR 细菌的流行和分布情况:我们进行了一项横断面研究,采用简单随机抽样的方法,通过健康信息电子系统中记录的唯一代码来选择患者医疗档案。根据临床实验室标准研究所抗菌药物敏感性检测指南第 33 版的抗菌药物敏感性解释,实验室确认的世界卫生组织重点病原体即为 MDR。对定量数据进行描述性分析,对定性数据进行专题分析:33 份档案中有 6 份(18.2%)的表面存在耐药菌。污染与医疗诊断类型(p=0.014)和档案存放地点(p=0.010)明显相关。发现的耐甲氧西林病原菌为快速杆菌(5/33;15.2%)和耐甲氧西林金黄色葡萄球菌(1/33;3%):在重症监护室和重症加护病房中,近五分之一的病人医疗档案被耐甲氧西林金黄色葡萄球菌污染。结论:重症监护室和重症加护病房的病人医疗档案中,近五分之一受到MDR细菌污染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
High prevalence of multidrug-resistant bacteria on patient medical file surfaces at five critical care units in Kampala, Uganda: an explanatory sequential mixed-methods study.

Introduction: Intensive care units (ICUs) and high-dependency units (HDUs) care for critically ill patients, many of whom have multi-drug-resistant (MDR) bacteria. We investigated the prevalence and distribution of MDR bacteria on the surfaces of patient medical files in three ICUs and two HDUs in Kampala.

Method: We conducted a cross-sectional study that used simple random sampling to select patient medical files through unique codes recorded in a health information electronic system. MDR was defined as laboratory confirmation of the WHO priority pathogens following the 33rd edition of the Clinical Laboratory Standards Institute on Antimicrobial Susceptibility testing guidelines for antibiotic susceptibility interpretation. Quantitative data was descriptively analyzed, while qualitative was thematically analyzed.

Results: Six of 33 files (18.2%) had MDR bacteria on their surfaces. Contamination was significantly associated with the type of medical diagnosis (p=0.014) and the file storage location (p=0.010). The MDR pathogens identified were Fastidious Acinetobacter (5/33; 15.2%) and methicillin-resistant Staphylococcus aureus (1/33; 3%).

Conclusion: Nearly one in five patient medical files in ICUs and HDUs were contaminated with MDR bacteria. Most contaminated files belonged to patients treated with aminoglycoside or glycopeptide-based regimens.

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来源期刊
CiteScore
6.40
自引率
6.70%
发文量
289
审稿时长
3-8 weeks
期刊介绍: Infection Control and Hospital Epidemiology provides original, peer-reviewed scientific articles for anyone involved with an infection control or epidemiology program in a hospital or healthcare facility. Written by infection control practitioners and epidemiologists and guided by an editorial board composed of the nation''s leaders in the field, ICHE provides a critical forum for this vital information.
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