Incidence and predictors of health care-associated infections among patients colonized with carbapenem-resistant Enterobacteriaceae

被引:9
|
作者
Feltrin Correa, Adriana Aparecida [1 ,2 ]
Castelo Branco Fortaleza, Carlos Magno [1 ]
机构
[1] Sao Paulo State Univ UNESP, Botucatu Med Sch, Dept Trop Dis, City Of Botucatu, SP, Brazil
[2] Bauru State Hosp, Sao Paulo State Hlth Dept, City of Bauru, SP, Brazil
关键词
Carbapenem-resistant; Enterobacteriaceae; Colonization; Healthcare-associated infections; ANTIMICROBIAL RESISTANCE; EPIDEMIOLOGY;
D O I
10.1016/j.ajic.2018.08.007
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Colonization with carbapenem-resistant Enterobacteriaceae (CRE) precedes invasive infections. Neither the actual risk for the latter nor the route between the 2 stages is completely clear. We studied a retrospective cohort of patients hospitalized between 2013-2016 and colonized with CRE. The incidence of CRE health care-associated infections was 13.2%, and predictors were the presence of a urinary catheter and the use of carbapenems. Infection prevention strategies in CRE-colonized patients should focus on invasive devices and antimicrobial stewardship. (C) 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:213 / 216
页数:4
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