血流感染耐甲氧西林金黄色葡萄球菌对患者预后的影响
作者:
作者单位:

作者简介:

黄文治

通讯作者:

中图分类号:

R378.1+1R181.3+2

基金项目:


Impact of methicillinresistant Staphylococcus aureus bloodstream infection on the prognosis of patients
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的了解耐甲氧西林金黄色葡萄球菌(MRSA)感染对患者住院时间、院内死亡以及不良预后的影响。方法对2009年1月1日—2013年12月31日华西医院血培养确诊为金黄色葡萄球菌感染的357例住院患者进行回顾性调查分析。 结果357例患者,MRSA感染91例,甲氧西林敏感金黄色葡萄球菌(MSSA)感染266例。MRSA组和MSSA组住院时间比较(29 d vs 23 d),差异有统计学意义(P<0.01);感染前MRSA组患者住院时间长于MSSA组(P<0.01),感染后两组患者住院时间比较(17 d vs 16.5 d),差异无统计学意义(P=0.92)。MRSA组和MSSA组患者死亡率比较(13.19% vs 9.02%),差异无统计学意义(χ2=1.28,P=0.26);MRSA组不良预后发生率为29.67%,高于MSSA组的16.92%(χ2=6.85,P=0.01)。多因素分析结果显示, MRSA感染是患者预后不良的独立危险因素(P<0.01)。结论MRSA感染未增加患者住院时间,但MRSA血流感染是患者不良预后的危险因素。

    Abstract:

    ObjectiveTo understand the impact of methicillinresistant Staphylococcus aureus (MRSA) bloodstream infection on the length of hospital stay, hospital mortality, and poor prognosis of patients.  Methods357 patients with Staphylococcus aureus (S.aureus) bacteremia  in a hospital between January 1,2009 and December 31,2013 were surveyed and analyzed retrospectively.   ResultsOf 357 patients, 91 were infected with MRSA and 266 with methicillinsusceptible S.aureus (MSSA).  The length of hospital stay was statistically different between MRSA and MSSA group(29 d vs 23 d, P<0.01); before infection, length of hospital stay of MRSA group was longer than MSSA group(P<0.01); after infection, length of hospital stay was not statistically different between two groups(17 d vs 16.5 d, P=0.92). Mortality of MRSA group and MSSA group was not statistically different(13.19% vs 9.02%, χ2=1.28,P=0.26). The incidence of poor prognosis of MRSA group was higher than  MSSA group(29.67% vs 16.92%, χ2=6.85,P=0.01). Multivariate analysis results showed that  MRSA infection was independent risk factor for poor prognosis (P<0.01). ConclusionMRSA infection doesn’t contribute to the prolongation of hospital stay, but MRSA bloodstream infection is a risk factor for poor prognosis of patients.

    参考文献
    相似文献
引用本文

周龙,乔甫,黄文治,等.血流感染耐甲氧西林金黄色葡萄球菌对患者预后的影响[J]. 中国感染控制杂志,2015,14(1):27-30. DOI:10.3969/j. issn.1671-9638.2015.01.006.
ZHOU Long, QIAO Fu, HUANG Wenzhi, et al. Impact of methicillinresistant Staphylococcus aureus bloodstream infection on the prognosis of patients[J]. Chin J Infect Control, 2015,14(1):27-30. DOI:10.3969/j. issn.1671-9638.2015.01.006.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2014-07-22
  • 最后修改日期:2014-09-22
  • 录用日期:
  • 在线发布日期: 2015-01-31
  • 出版日期: