Dergiler / Turkish Journal of Medical Sciences / 2019 / Cilt: 49 - Sayı: 1

Risk factors for rectal colonization of carbapenem-resistant Enterobacteriaceae in a tertiary care hospital: a case-control study from Turkey

Sayfa
341–346
Yayın Tarihi
2022-11-05
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The findings of this study could be useful for improvement ofinfection control strategies related to CRE.

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Amaç & Hipotez:Background/aim: This study aimed to evaluate the risk factors of patients colonized with carbapenem-resistant Enterobacteriaceae(CRE).Materials and methods: The study was conducted between January 2010 and March 2016.
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Temel Bulgular & Veri:The colonized group consisted of patientswho had a CRE strain in their rectal swab cultures, whereas patients with negative rectal surveillance cultures for CRE who wereconcurrently hospitalized in the same units with the colonized group patients were included in the control group.Results: The number of patients in the colonized and the control group was 71 and 120, respectively.
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Sonuç & Katkı:The findings of this study could be useful for improvement ofinfection control strategies related to CRE.
🔬Tür:Araştırma Makalesi
📍Kapsam:2010 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Background/aim: This study aimed to evaluate the risk factors of patients colonized with carbapenem-resistant Enterobacteriaceae(CRE).Materials and methods: The study was conducted between January 2010 and March 2016. The colonized group consisted of patientswho had a CRE strain in their rectal swab cultures, whereas patients with negative rectal surveillance cultures for CRE who wereconcurrently hospitalized in the same units with the colonized group patients were included in the control group.Results: The number of patients in the colonized and the control group was 71 and 120, respectively. Both groups were evaluated fordemographic and healthcare-associated characteristics. Isolated microorganisms in rectal surveillance cultures for CRE were Klebsiellapneumoniae (75.5%), Escherichia coli (15.5%), Enterobacter cloacae (4.2%), Klebsiella oxytoca (1.4%), and Klebsiella terrigena (1.4%).The isolates were resistant to imipenem, meropenem, and ertapenem (52.1%, 73.2%, and 100%, respectively). In multivariate analysis,presence of decubitus, colistin usage, glycopeptide usage, and fluoroquinolone usage were found to be independent risk factors for CREcolonization. There was no significant difference between the two groups with regards to mortality (P = 0.070).Conclusion: These results are in agreement with the current literature. The findings of this study could be useful for improvement ofinfection control strategies related to CRE.

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Bu Makaleye Atıf Yap

KORKMAZ, F. Y. Ü., HASANOĞLU, İ., YILMAZ, G. R., TAŞYARAN, M. A., GÜNER, R., ESER, F., AÇIKGÖZ, Z. C. (2022). Risk factors for rectal colonization of carbapenem-resistant Enterobacteriaceae in a tertiary care hospital: a case-control study from Turkey. Turkish Journal of Medical Sciences, Cilt: 49 - Sayı: 1, 341–346. https://ajindex.com/articles/610931

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Kaynakça (11)

  1. Sanchez GV, Master RN, Clark RB, Fyyaz M, Duvvuri P, Ekta G, Bordon J. Klebsiella pneumoniae antimicrobial drug resistance, United States, 1998-2010. Emerg Infect Dis 2013; 19: 133-136
  2. Senbayrak Akcay S, Inan A, Cevan S, Ozaydın AN, Cobanoglu N, Ozyurek SC, Aksaray S. Gram-negative bacilli causing infections in an intensive care unit of a 44 tertiary care hospital in Istanbul, Turkey. J Infect Dev Ctries 2014; 8: 597-604
  3. Centers for Disease Control. Facility Guidance for Control of Carbapenem Resistant Enterobacteriaceae (CRE) November 2015 Update. Atlanta, GA, USA: CDC; 2015
  4. Hayden MK, Lin MY, Lolans K, Weiner S, Blom D, Moore NM, Fogg L, Henry D, Lyles R, Thurlow C et al. Centers for Disease Control and Prevention Epicenters Program. Prevention of colonization and infection by Klebsiella pneumoniae carbapenemase-producing Enterobacteriaceae in long-term acute-care hospitals. Clin Infect Dis 2015; 60: 1153- 1161
  5. Ben-David D, Kordevani R, Keller N, Tal I, Marzel A, GalMor O, Maor Y, Rahav G. Outcome of carbapenem resistant Klebsiella pneumoniae bloodstream infections. Clin Microbiol Infect 2012; 18: 54-60
  6. Bhargava A, Hayakawa K, Silverman E, Haider S, Alluri KC, Datla S, Diviti S, Kuchipudi V, Muppavarapu KS, Lephart PR et al. Risk factors for colonization due to carbapenemresistant Enterobacteriaceae among patients exposed to longterm acute care and acute care facilities. Infect Control Hosp Epidemiol. 2014; 35: 398-405
  7. Akturk H, Sutcu M, Somer A, Aydın D, Cihan R, Ozdemir A, Coban A, Ince Z, Citak A, Salman N. Carbapenem-resistant Klebsiella pneumoniae colonization in pediatric and neonatal intensivecare units: risk factors for progression to infection. Braz J Infect Dis 2016; 20: 134-140
  8. Clinical and Laboratory Standards Institute. Performance Standards for Antimicrobial Susceptibility Testing: 22nd Informational Supplement Document M100-S22. Wayne, PA, USA: CLSI; 2012
  9. Zhao ZC, Xu XH, Liu MB, Wu J, Lin J, Li B. Fecal carriage of carbapenem-resistant Enterobacteriaceae in a Chinese university hospital. Am J Infect Control 2014; 42: e61-64
  10. Swaminathan M, Sharma S, Poliansky Blash S, Patel G, Banach DB, Phillips M, LaBombardi V, Anderson KF, Kitchel B, Srinivasan A et al. Prevalence and risk factors for acquisition of carbapenem-resistant Enterobacteriaceae in the setting of endemicity. Infect Control Hosp Epidemiol 2013; 34: 809-817
  11. Borer A, Saidel-Odes L, Eskira S, Nativ R, Riesenberg K, Livshiz-Riven I, Schla