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
- 2018.1
- 수록면
- 238 - 245 (8page)
이용수
초록· 키워드
오류제보하기
Background: Infection by multidrug-resistant (MDR) pathogens leads to poor patient outcomesin intensive care units (ICUs). Contact precautions are necessary to reduce the transmission ofMDR pathogens. However, the importance of the surrounding environment is not well known. We studied the effects of ICU relocation on MDR respiratory pathogen detection rates andpatient outcomes. Methods: Patients admitted to the ICU before and after the relocation were retrospectivelyanalyzed. Baseline patient characteristics, types of respiratory pathogens detected, antibioticsused, and patient outcomes were measured. Results: A total of 463 adult patients admitted to the ICU, 4 months before and after therelocation, were included. Of them, 234 were admitted to the ICU before the relocation and229 afterward. Baseline characteristics, including age, sex, and underlying comorbidities, didnot differ between the two groups. After the relocation, the incidence rate of MDR respiratorypathogen detection decreased from 90.0 to 68.8 cases per 1,000 patient-days, but that differencewas statistically insignificant. The use of colistin was significantly reduced from 53.5days (95% confidence interval [CI], 20.3 to 86.7 days) to 18.7 days (95% CI, 5.6 to 31.7 days). Furthermore, the duration of hospital stay was significantly reduced from a median of 29days (interquartile range [IQR], 14 to 50 days) to 21 days (IQR, 11 to 39 days). Conclusions: Incidence rates of MDR respiratory pathogen detection were not significantlydifferent before and after ICU relocation. However, ICU relocation could be helpful in reducingthe use of antibiotics against MDR pathogens and improving patient outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Magill SS / 2014 / Prevalence of antimicrobial use in US acute care hospitals, May-September 2011 / JAMA 312:1438~1446
Chung DR / 2011 / High prevalence of multidrug-resistant nonfermenters in hospital-acquired pneumonia in Asia / Am J Respir Crit Care Med 184:1409~1417
Corrado RE / 2017 / Burden of adult community-acquired, health-care-associated, hospital-acquired, and ventilator-associated pneumonia: New York city, 2010 to 2014 / Chest 152:930~942
Martin-Loeches I / 2015 / Resistance patterns and outcomes in intensive care unit (ICU)-acquired pneumonia: validation of European Centre for Disease Prevention and Control (ECDC) and the Centers for Disease Control and Prevention (CDC) classification of multidrug resistant organisms / J Infect 70:213~222
Santos RP / 2008 / Healthcare epidemiology: active surveillance cultures and contact precautions for control of multidrug-resistant organisms: ethical considerations / Clin Infect Dis 47:110~116
Chung DR / 2011 / High prevalence of multidrug-resistant nonfermenters in hospital-acquired pneumonia in Asia / Am J Respir Crit Care Med 184:1409~1417
Corrado RE / 2017 / Burden of adult community-acquired, health-care-associated, hospital-acquired, and ventilator-associated pneumonia: New York city, 2010 to 2014 / Chest 152:930~942
Martin-Loeches I / 2015 / Resistance patterns and outcomes in intensive care unit (ICU)-acquired pneumonia: validation of European Centre for Disease Prevention and Control (ECDC) and the Centers for Disease Control and Prevention (CDC) classification of multidrug resistant organisms / J Infect 70:213~222
Santos RP / 2008 / Healthcare epidemiology: active surveillance cultures and contact precautions for control of multidrug-resistant organisms: ethical considerations / Clin Infect Dis 47:110~116
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