Acquisition of Mycobacterium abscessus among ventilator-dependent patients in Taiwan chronic respiratory care facilities

被引：6

作者：

Lee, Meng-Rui ^{[1
,2
,3
,4
]}

Tsai, Chia-Jung ^{[4
]}

Hu, Jia-Ying ^{[4
]}

Lee, Shih-Wei ^{[4
]}

Ko, Jen-Chung ^{[1
]}

Wang, Hao-Chien ^{[2
]}

Yu, Chong-Jen ^{[2
]}

Lee, Li-Na ^{[2
,5
]}

Hsueh, Po-Ren ^{[2
,5
]}

机构：

[1] Natl Taiwan Univ Hosp, Hsin Chu Branch, Dept Internal Med, Hsinchu, Taiwan

[2] Natl Taiwan Univ, Coll Med, Dept Internal Med, Natl Taiwan Univ Hosp, Taipei, Taiwan

[3] Natl Taiwan Univ, Coll Publ Hlth, Inst Prevent Epidemiol & Prevent Med, Taipei 10764, Taiwan

[4] Taoyuan Gen Hosp, Minist Hlth & Welf, Dept Internal Med, Taoyuan, Taiwan

[5] Natl Taiwan Univ, Coll Med, Dept Lab Med, Natl Taiwan Univ Hosp, Taipei 10764, Taiwan

来源：

FUTURE MICROBIOLOGY | 2016年 / 11卷 / 04期

关键词：

chronic respiratory care wards; dendrogram; M; abscessus; M. abscessus subspeciesabscessus; M. abscessus subspecies massiliense; nontuberculous mycobacteria; Taiwan; ventilator-dependent patients; DESORPTION IONIZATION-TIME; FLIGHT MASS-SPECTROMETRY; NONTUBERCULOUS MYCOBACTERIA; CYSTIC-FIBROSIS; ANTIMICROBIAL RESISTANCE; HORIZONTAL SURVEILLANCE; RAPID IDENTIFICATION; M; ABSCESSUS; INFECTIONS; MASSILIENSE;

D O I：

10.2217/fmb.16.6

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

Aim: To investigate the acquisition of Mycobacterium abscessus among ventilator-dependent patients. Materials & methods: We prospectively recruited ventilator-dependent patients in five respiratory care wards (RCWs). Respiratory specimens were cultured for mycobacteria on day 1 (D1), 3 months (M3) and 6 months (M6) after enrollment. Results: 72 patients had cultures taken at all three time points. The proportion of patients with a culture positive for M. abscessus increased from 15.3% (11/72) on D1 to 30.6% (22/72) at M3 and 38.9% (28/72) at M6. Two M. abscessus subspecies abscessus isolates obtained from different patients had identical randomly amplified polymorphic DNA patterns. Being in RCW D and advanced age were significantly associated with initial cultures positivity. Conclusion: Our study reveals that acquisition of M. abscessus was common among ventilator-dependent patients.

引用

页码：491 / 500

页数：10

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