|
1
|
Liang M, Mao G, Zhang X, He Q, Ying Q, Wang S, Jin F, Dong S, Lin X, Ruan Y, Li M, Lv L, Zhou Y. Drug resistance patterns of Klebsiella pneumonia strains isolated from Shaoxing City, Zhejiang Province in 2019: a multi-centre retrospective study. ALL LIFE 2022. [DOI: 10.1080/26895293.2022.2108630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022] Open
Affiliation(s)
- Meichun Liang
- Department of Clinical Laboratory, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, People’s Republic of China
| | - Guofeng Mao
- Department of Clinical Laboratory, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, People’s Republic of China
| | - Xiaojiao Zhang
- Department of Clinical Laboratory, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, People’s Republic of China
| | - Qiuli He
- Department of Clinical Laboratory, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, People’s Republic of China
| | - Qunhua Ying
- Department of Clinical Laboratory, Shaoxing Maternal and Child Health Hospital, Shaoxing, People’s Republic of China
| | - Sheliang Wang
- Department of Clinical Laboratory, Shaoxing Second Hospital, Shaoxing, People’s Republic of China
| | - Faxiang Jin
- Department of Clinical Laboratory, The Affiliated Hospital of Shaoxing University, Shaoxing, People’s Republic of China
| | - Su Dong
- Department of Clinical Laboratory, Shaoxing Traditional Chinese Medicine Hospital, Shaoxing, People’s Republic of China
| | - Xiuqin Lin
- Department of Clinical Laboratory, Shaoxing Seventh Hospital, Shaoxing, People’s Republic of China
| | - Yongchun Ruan
- Department of Infectious Diseases, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, People’s Republic of China
| | - Minghui Li
- Department of Infectious Diseases, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, People’s Republic of China
| | - Li Lv
- Department of Clinical Laboratory, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, People’s Republic of China
| | - Yiqing Zhou
- Department of Infectious Diseases, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, People’s Republic of China
| |
Collapse
|
|
2
|
Wang N, Zhan M, Liu J, Wang Y, Hou Y, Li C, Li J, Han X, Liu J, Chen Y, Fan J, Tang J, Lu W, Zhong X, Zhang Z, Zhang W. Prevalence of Carbapenem-Resistant Klebsiella pneumoniae Infection in a Northern Province in China: Clinical Characteristics, Drug Resistance, and Geographic Distribution. Infect Drug Resist 2022; 15:569-579. [PMID: 35228807 PMCID: PMC8881927 DOI: 10.2147/idr.s347343] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 02/01/2022] [Indexed: 12/11/2022] Open
Affiliation(s)
- Na Wang
- Microbiology Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Minghua Zhan
- Microbiology Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
- Clinical Laboratory, Peking University People’s Hospital, Beijing, 100730, People’s Republic of China
| | - Jianhua Liu
- Respiratory Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Yao Wang
- Clinical Laboratory, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, People’s Republic of China
| | - Yongwang Hou
- Clinical Laboratory, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Caiqing Li
- Microbiology Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Jia Li
- Microbiology Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Xuying Han
- Microbiology Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Jinlu Liu
- Microbiology Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Yong Chen
- Infectious Disease Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Jingjing Fan
- Infectious Disease Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Jianhua Tang
- Clinical Pharmacy Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Wenhua Lu
- Dental Department, Beijing Fengtai Tieying Community Health Service Center, Beijing, 100730, People’s Republic of China
| | - Xinran Zhong
- Microbiology Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Zhihua Zhang
- Respiratory Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
| | - Wei Zhang
- Microbiology Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000, People’s Republic of China
- Clinical Laboratory, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, People’s Republic of China
- Correspondence: Wei Zhang; Zhihua Zhang, Tel +86-15369318318, Email ;
| |
Collapse
|
|
3
|
Lin YR, Lin YY, Yu CP, Yang YS, Cheng CG, Cheng CA. Increased Involvement of Klebsiellapneumoniae and Enterococcusfaecium in Healthcare-Associated Infections of Intensive Care Units in Taiwan. Healthcare (Basel) 2021; 9:healthcare9101349. [PMID: 34683029 PMCID: PMC8544546 DOI: 10.3390/healthcare9101349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 09/02/2021] [Accepted: 10/07/2021] [Indexed: 11/16/2022] Open
Abstract
Background: Healthcare-associated infections (HAIs) cause increases in length of stay, mortality, and healthcare costs. A previous study conducted in Taiwan obtained similar results to those reported in Korea and Japan in 2015. Changes in microorganisms have been noted in recent years. Understanding the recent condition of HAIs in intensive care units (ICUs) can enable healthcare providers to develop effective infection control protocols to reduce HAIs. Methods: We used the Taiwan Nosocomial Infection Surveillance System to evaluate the incidence densities of HAIs, the proportions of causative pathogens, and the proportions of antimicrobial resistance (AMR). The Poisson regression model was constructed to incidence density, and the chi-square test was used to assess proportion. Results: The incidence density of HAIs decreased 5.7 to 5.4 per 1000 person-days. However, the proportions of Klebsiella pneumoniae and Enterococcus faecium significantly increased. In addition, the proportions of carbapenem-resistant K. pneumoniae and vancomycin-resistant Enterococcus faecium significantly increased over time. Conclusion: Analysis of the microorganisms involved in HAIs in ICUs showed elevated proportions of K. pneumoniae and E. faecium with AMR. Infection control protocols have been implemented for several years and require improvements regarding environmental cleanliness and medical staff prevention.
Collapse
Affiliation(s)
- Yu-Ren Lin
- National Defense Medical Center, Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 32549, Taiwan; (Y.-R.L.); (Y.-Y.L.)
- National Defense Medical Center, Department of Emergency Medicine, Tri-Service General Hospital, Taipei 11490, Taiwan
| | - Yen-Yue Lin
- National Defense Medical Center, Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 32549, Taiwan; (Y.-R.L.); (Y.-Y.L.)
- National Defense Medical Center, Department of Emergency Medicine, Tri-Service General Hospital, Taipei 11490, Taiwan
| | - Chia-Peng Yu
- Department of Medical Research, Tri-Service General Hospital, Taipei 11490, Taiwan;
- National Defense Medical Center, School of Public Health, Taipei 11490, Taiwan
| | - Ya-Sung Yang
- National Defense Medical Center, Department of Infection Medicine, Tri-Service General Hospital, Taipei 11490, Taiwan;
| | - Chun-Gu Cheng
- National Defense Medical Center, Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 32549, Taiwan; (Y.-R.L.); (Y.-Y.L.)
- National Defense Medical Center, Department of Emergency Medicine, Tri-Service General Hospital, Taipei 11490, Taiwan
- Department of Emergency and Critical Medicine, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan
- Correspondence: (C.-G.C.); (C.-A.C.); Tel.: +886-3-4801604 (C.-G.C.); +886-2-87927173 (C.-A.C.)
| | - Chun-An Cheng
- National Defense Medical Center, Department of Neurology, Tri-Service General Hospital, Taipei 11490, Taiwan
- Correspondence: (C.-G.C.); (C.-A.C.); Tel.: +886-3-4801604 (C.-G.C.); +886-2-87927173 (C.-A.C.)
| |
Collapse
|
|
4
|
Liu KS, Tong YS, Lee MT, Lin HY, Lu MC. Risk Factors of 30-Day All-Cause Mortality in Patients with Carbapenem-Resistant Klebsiella pneumoniae Bloodstream Infection. J Pers Med 2021; 11:jpm11070616. [PMID: 34209780 PMCID: PMC8303346 DOI: 10.3390/jpm11070616] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 06/25/2021] [Accepted: 06/27/2021] [Indexed: 11/16/2022] Open
Abstract
An optimal antimicrobial regimen for the treatment of patients with carbapenem-resistant Klebsiella pneumoniae (CRKP) bloodstream infection (BSI) is currently unavailable. This study aimed to identify the appropriate antibiotics and the risk factors of all-cause mortality for CRKP BSI patients. This retrospective cohort study included the hospitalized patients with CRKP BSI. Primary outcome was 30-day all-cause mortality. Cox regression analysis was used to evaluate the risk factors of 30-day mortality. A total of 89 patients were included with a 30-day mortality of 52.1%. A total of 52 (58.4%) patients were treated with appropriate antimicrobial regimens and 58 (65.2%) isolates carried blaKPC-2 genes. Microbiologic eradication within 7 days (adjusted hazard ratio [HR] = 0.09, p < 0.001), platelet count (per 1 × 104/mm3, adjusted HR = 0.95, p = 0.002), and Pitt bacteremia scores (adjusted HR = 1.40, p < 0.001) were independently associated with 30-day all-cause mortality. No effective antimicrobial regimens were identified. In conclusion, risk factors of 30-day mortality in patients with CRKP BSI included microbiologic eradication > 7 days, lower platelet count, and a higher Pitt bacteremia score. These findings render a new insight into the clinical landscape of CRKP BSI.
Collapse
Affiliation(s)
- Keh-Sen Liu
- Division of Infectious Diseases, Department of Internal Medicine, Show Chwan Memorial Hospital, Changhua 500, Taiwan;
| | - Yao-Shen Tong
- Department of Medical Laboratory, Show Chwan Memorial Hospital, Changhua 500, Taiwan;
| | - Ming-Tsung Lee
- Research Assistant Center, Show Chwan Memorial Hospital, Changhua 500, Taiwan; (M.-T.L.); (H.-Y.L.)
- Department of Nursing, Hungkuang University, Taichung 433, Taiwan
| | - Hung-Yu Lin
- Research Assistant Center, Show Chwan Memorial Hospital, Changhua 500, Taiwan; (M.-T.L.); (H.-Y.L.)
| | - Min-Chi Lu
- Division of Infectious Diseases, Department of Internal Medicine, China Medical University Hospital, Taichung 404, Taiwan
- Department of Microbiology and Immunology, School of Medicine, China Medical University, Taichung 404, Taiwan
- Correspondence:
| |
Collapse
|