Đặc điểm người bệnh nhiễm khuẩn do vi sinh vật đa kháng tại Bệnh viện Ung Bướu Tp. Hồ Chí Minh=Characteristics of patients with infections caused by multidrug-resistant organisms at the Ho Chi Minh City Oncology Hospital

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Tác giả: Thị Ngọc Diễm Đỗ, Hoa Hạnh Huỳnh, Trung Lê, Xuân Bính Lê, Thị Hồng Nhung Nguyễn, Thị Khánh Ngọc Nguyễn, Thị Vĩnh Linh Nguyễn, Đình Cường Phạm, Thị Hải Hương Phạm, Huy Hoàng Trần, Thị Thùy Linh Chi Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.151-158

Bộ sưu tập: Metadata

ID: 243459

Thêm vào giỏ

Describe the characteristics of patients with infections caused by multidrug-resistant organisms (MDRO) at the Oncology Hospital from November 2023 to June 2024. Determine the current spectrum of multidrug-resistant organisms and the prevalence ratio of MDRO isolates at the Oncology Hospital. Method: Descriptive method Population: All microbiological cultures performed at the Oncology Hospital from November 2023 to June 2024. Results: The average age of patients with infections caused by multidrug-resistant organisms was 50.8. The female: male ratio was 1.3. Common diseases in cases of infections due to multidrug-resistant organisms were: gastrointestinal cancers (colorectal, esophagus, stomach, anal canal) at 26.5%
benign and malignant diseases of the skin, soft tissue (boils, skin abscesses, soft tissue,...) at 22.3% and cancers of the lymphoid and hematopoietic systems (Lymphoma, multiple myeloma, leukemia) at 13.2%. The most common sites of infection were: infections of skin - soft tissue, surgical site infections, respiratory infections (pneumonia, ventilator-associated pneumonia, upper respiratory) with rates of 40.1%
22.6% and 16.7%, respectively. The most common multidrug-resistant organisms were MRSA, accounting for 40.9%, followed by E. coli, accounting for 29.2%
and Klebsiella pneumoniae, accounting for 10.5%. The overall prevalence rate of multidrug-resistant organism infections was 0.5 MDRO infections per 100 admissions. Conclusion: The study provided an overview of the characteristics of patients with infections due to multidrug-resistant organisms and common multidrug-resistant bacteria at the Oncology Hospital. The average age of patients with infections caused by multidrug-resistant organisms was 50.8 years, with women being more common than men. MRSA, E. coli and Klebsiella were notable multidrug-resistant pathogens. The overall prevalence rate of multidrug-resistant organism infections in inpatients at the Oncology Hospital was 0.5/100 admissions. Effective infection control programs need to be established to reduce infections caused by multidrug-resistant microorganisms.Mô tả đặc điểm dịch tễ của người bệnh nhiễm khuẩn vi sinh vật đa kháng (VSVĐK) tại BVUB từ tháng 11 năm 2023 đến tháng 6 năm 2024. Xác định loại vi khuẩn đa kháng hiện hành và tỷ lệ hiện mắc nhiễm khuẩn do VSVĐK của người bệnh nội trú tại BVUB. Phương pháp: Nghiên cứu mô tả Đối tượng: Tất cả các mẫu cấy vi sinh được thực hiện tại BVUB từ tháng 11 năm 2023 đến tháng 6 năm 2024. Kết quả: Tuổi trung bình của người bệnh nhiễm khuẩn do VSVĐK là 50,8. Tỷ lệ nữ : nam là 1,3. Các loại bệnh lý thường gặp ở những trường hợp nhiễm khuẩn do VSVĐK là: ung thư đường tiêu hóa (đại trực tràng, thực quản, dạ dày, ống hậu môn) là 26,5%
bệnh lý lành tính và ác tính của da, mô mềm (nhọt, áp xe da, phần mềm, ...) là 22,3% và ung thư hệ tạo máu (Lymphoma, đa u tủy, bệnh bạch cầu) là 13,2%. Các vị trí nhiễm khuẩn thường gặp nhất là: da – mô mềm, nhiễm khuẩn vết mổ, nhiễm khuẩn hô hấp (viêm phổi, viêm phổi thở máy, hô hấp trên) với tỷ lệ lần lượt là 40,1%
22,6% và 16,7%. Tác nhân đa kháng thường gặp nhất là tụ cầu S. aureus kháng methicillin (MRSA) chiếm tỷ lệ 40,9%, tiếp đến là E. coli 29,2%
và K. pneumoniae 10,5%. Tỷ lệ hiện mắc nhiễm khuẩn do VSVĐK của người bệnh nội trú tại BVUB là 0,5/100 lượt nhập nội trú. Kết luận: Tuổi trung bình của người bệnh nhiễm khuẩn do tác nhân đa kháng là 50,8, nữ thường gặp hơn nam. Vi khuẩn MRSA, E. coli và K. pneumoniae là những tác nhân đa kháng đáng chú ý. Tỷ lệ hiện mắc nhiễm khuẩn do vi sinh vật đa kháng của người bệnh nội trú tại BVUB là 0,5/100 lượt nội trú. Cần thiết lập chương trình KSNK hiệu quả giúp làm giảm nhiễm khuẩn do vi sinh vật đa kháng.

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