2008-2015年深圳某医院金黄色葡萄球菌血流感染的临床特征和预后分析
发布时间：2018-07-14 11:23
【摘要】：目的分析深圳市南山区人民医院金黄色葡萄球菌血流感染的临床特征和起病后30 d内死亡相关的危险因素。方法回顾分析2008-2015年由金黄色葡萄球菌所致血流感染患者的临床和微生物学资料,分析30 d内死亡相关危险因素。结果共121例患者入组,其中MRSA血流感染检出率为17.4%(21/121)。相比较于MSSA血流感染,MRSA血流感染中年龄≥65岁老年患者更多、医院感染和呼吸道感染更为常见(P值分别为0.026、0.035和0.001);并且MRSA血流感染患者中复数菌感染更多和接受了更多的不恰当初始抗感染治疗(P值分别为0.005和0.001)。患者起病后30 d内的死亡率为18.2%(22/121)。通过单因素和多因素回归分析示仅实体肿瘤(OR,8.932,P=0.004)和感染性休克(OR,56.721,P0.001)是患者起病后30 d内死亡的独立危险因素。结论实体肿瘤和感染性休克,比MRSA感染在金黄色葡萄球菌血流感染患者死亡中起了更重要的作用。
[Abstract]:Objective to analyze the clinical characteristics of staphylococcus aureus blood flow infection and the risk factors of death within 30 days after onset of the disease. Methods the clinical and microbiological data of patients with blood stream infection caused by Staphylococcus aureus from 2008 to 2015 were analyzed retrospectively and the risk factors of death within 30 days were analyzed. Results A total of 121 patients were enrolled in the study. The positive rate of MRSA was 17.4% (21 / 121). Compared with MSSA, MRSA was more common in elderly patients aged 鈮，
本文编号：2121492
[Abstract]:Objective to analyze the clinical characteristics of staphylococcus aureus blood flow infection and the risk factors of death within 30 days after onset of the disease. Methods the clinical and microbiological data of patients with blood stream infection caused by Staphylococcus aureus from 2008 to 2015 were analyzed retrospectively and the risk factors of death within 30 days were analyzed. Results A total of 121 patients were enrolled in the study. The positive rate of MRSA was 17.4% (21 / 121). Compared with MSSA, MRSA was more common in elderly patients aged 鈮，
本文编号：2121492
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