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
收藏
页码：491 / 500
页数：10
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