지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.9
- 수록면
- 245 - 253 (9page)
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To provide reference data or guideline for empirical treatment of bloodstream infection, we studied a change pattern in causative microorganisms and antimicrobial susceptibility in a general hospital at Gyeonggi province during five years. We retrospectively reviewed the frequency of causative microorganisms and antimicrobial susceptibility results of 5,782 microorganisms isolated from blood culture in a general hospital during the period from January 2008 to December 2012. The most common pathogens were Escherichia coli (14.7%), Staphylococcus aureus (7.5%), Streptococcus viridans group (4.9%), and Klebsiella pneumoniae (4.1%). The multiple microorganisms were isolated in 4.3% of bloodstream infection patients. The average contamination rate of blood culture during five years was 3.0%. Methicillin-resistant S. aureus (MRSA), vancomycin-resistant Enterococcus faecium (VRE), and penicillin-resistant Streptococcus pneumoniae were isolated at 62%, 27% and 11%, respectively. Cefotaxime-resistant E. coli and K. pneumoniae was 20% and 18%, respectively. Imipenem-resistant Pseudomonas aeruginosa (IRPA) and Acinetobacter baumannii (IRAB) was 25% and 66%, respectively. E. coli and S. aureus were most common pathogens isolated from blood culture for five years. The increase of multidrug-resistant microorganisms, such as MRSA, VRE, ESBL, IRPA and IRAB, requires more strict control of antibiotics and causes the need of the more updated guideline for the treatment of blood stream infection.
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REFERENCES
참고문헌 (39)
참고문헌 신청
안균열 / 2006 / 환자의 혈액배양에서 분리된 균종과 항균제 감수성의 변화추이 / Annals of Clinical Microbiology 9(1):42~50
Arpi M / 1994 / Changing etiology of bacteremia in patients with hematological malignancies in Denmark / Scand J Infect Dis 26:157~162
Aronson MD / 1987 / Blood cultures / Ann Intern Med 106:246~253
Asensio A / 2011 / Estudio de prevalencia de las Infecciones Nosocomiales en Espana (EPINE) Working Group. Trends in yearly prevalence of third-generation cephalosporin and fluroquinolone resistant Enterobacteriaceae infections and antimicrobial use in Spanish hospitals, Spain, 1999 to 2010 / Euro Surveill 16:12~20
Biedenbach DJ / 2004 / Occurrence and antimicrobial resistance pattern comparisons among blood stream infection isolates from the SENTRY Antimicrobial Surveillance Program (1997-2002) / Diagn Microbiol Infect Dis 50:59~69
Arpi M / 1994 / Changing etiology of bacteremia in patients with hematological malignancies in Denmark / Scand J Infect Dis 26:157~162
Aronson MD / 1987 / Blood cultures / Ann Intern Med 106:246~253
Asensio A / 2011 / Estudio de prevalencia de las Infecciones Nosocomiales en Espana (EPINE) Working Group. Trends in yearly prevalence of third-generation cephalosporin and fluroquinolone resistant Enterobacteriaceae infections and antimicrobial use in Spanish hospitals, Spain, 1999 to 2010 / Euro Surveill 16:12~20
Biedenbach DJ / 2004 / Occurrence and antimicrobial resistance pattern comparisons among blood stream infection isolates from the SENTRY Antimicrobial Surveillance Program (1997-2002) / Diagn Microbiol Infect Dis 50:59~69
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UCI(KEPA) : I410-ECN-0101-2014-500-002673961