Tình trạng nhiễm khuẩn huyết tại Khoa Hồi sức tích cực và chống độc, Bệnh viện Nhi Đồng 2 năm 2022 - 2023=Bloodstream infections in the Intensive Care Unit, Children's Hospital 2, 2022

Tình trạng nhiễm khuẩn huyết tại Khoa Hồi sức tích cực và chống độc, Bệnh viện Nhi Đồng 2 năm 2022 - 2023=Bloodstream infections in the Intensive Care Unit, Children's Hospital 2, 2022 - 2023

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Ngọc Hương Nguyễn, Thị Huỳnh Lê Phan, Thị Ngà Trình, Quốc Bảo Võ

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.50-58

Bộ sưu tập: Metadata

ID: 478187

Thêm vào giỏ

Identify present on admission infection (POA), CLABSI, non-CLABSI, and secondary bloodstream infection rate, common microbial agents, and antibiotic resistance levels. 2. Find the relationship between mortality rate and some related factors. Methods: Descriptive cross-sectional study, all patients admitted to the Intensive Care Unit, Children's Hospital 2, with positive blood culture results from January 2022 to October 2023. Results: In 105 patients with positive blood cultures at the Intensive Care Unit, we noted that hospital-acquired bloodstream infections had the highest rate
common pathogens were Stenotrophomonas maltophilia, Klebsiella pneumoniae, Candida, and Acinetobacter baumannii. Klebsiella pneumoniae and Acinetobacter baumannii were resistant to Carbapenem 80% - 100%, and to Colistin 33.3% - 50%. The mortality/severe discharge rate in the group of hospital-acquired bloodstream infections was 2.16 times higher than in the group of patients with POA
the mortality/severe discharge rate in the group with catheter retention ≥ 6 days was 2.31 times higher than that in the group with catheter retention <
6 days. Placing a central catheter in the femoral vein or two locations also increased the risk of hospitalacquired bloodstream infections. Conclusion: Common pathogens causing hospital-acquired bloodstream infection are S. maltophilia, K. pneumoniae, Candida, and A. baumannii. The rate of resistant antibiotics in bacteria increased over time. There was a relationship between catheter placement, number of catheter retention days with CLABSI, and number of catheter retention days with mortality/severe discharge rate.Xác định các loại nhiễm khuẩn huyết, các tác nhân thường gặp và đề kháng kháng sinh. 2. Tìm mối liên quan giữa tử vong và nặng xin về với một số yếu tố liên quan. Đối tượng nghiên cứu: Tất cả các bệnh nhân nhập khoa Hồi sức tích cực và chống độc Bệnh viện Nhi đồng 2 có kết quả cấy máu dương tính trong thời gian từ 01/2022 đến 10/2023. Phương pháp nghiên cứu: Nghiên cứu cắt ngang mô tả. Kết quả: Có 105 bệnh nhân có kết quả cấy máu dương tính được ghi nhận. Nhiễm khuẩn huyết bệnh viện (NKHBV) (bao gồm nhiễm khuẩn huyết liên quan catheter (CLABSI) và nhiễm khuẩn huyết không liên quan catheter) chiếm tỉ lệ cao nhất. Các tác nhân gây NKHBV thường gặp là: Stenotrophomonas maltophilia, Klebsiella pneumoniae, Candida và Acinetobacter baumannii. K. pneumoniae và A. baumannii kháng nhóm Carbapenem từ 80% - 100%, kháng Colistin 33,3% - 50%. Tỉ lệ tử vong và nặng xin về trong nhóm NKHBV cao gấp 2,16 lần so với nhóm nhiễm khuẩn huyết (NKH) lúc vào
tỉ lệ tử vong/nặng xin về trong nhóm bệnh nhân lưu catheter ≥ 6 ngày cao gấp 2,31 lần so với nhóm lưu catheter <
6 ngày. Đặt catheter trung ương tại vị trí tĩnh mạch đùi hoặc hai vị trí cũng làm tăng nguy cơ NKHBV. Kết luận: Các tác gây nhiễm khuẩn huyết bệnh viện thường gặp là: S. maltophilia, K. pneumoniae, Candida và A. baumannii. Tỉ lệ kháng thuốc của vi khuẩn tăng lên theo thời gian. Có mối liên quan giữa vị trí đặt catheter, số ngày lưu catheter với tỉ lệ CLABSI
số ngày lưu catheter với tình trạng tử vong/nặng xin về.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR