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Clinical characteristics and risk factors in mixed-enterococcal bloodstream infections

Clinical characteristics and risk factors in mixed-enterococ...

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第四届重症心脏全国学术大会暨第五届西湖重症医学大会、2019年浙江省重症医学学术大会（重症心脏-心与心外器官)

作者： Cheng Zheng Jiachang Cai Haizhou Liu Shufang Zhang Li Zhong Nanxia Xuan Hongwei Zhou Kai Zhang Yesong Wang Xijiang Zhang Baoping Tian Zhaocai Zhang Wei Cui Gensheng Zhang

Objectives:Although the enterococcal bloodstream infections(EBSI) are often observed in clinic,the mixedEBSI were few *** aim of this study was to investigate the clinical characteristics and risk factors of mixedEBSI in comparison with monomicrobial EBSI(mono-EBSI).Methods:A single center retrospective observational study was performed between Jan 1,2013 and Dec 31,2018 in a tertiary *** patients with EBSI were enrolled,and their data were collected by reviewing electronic medical ***:A total of 451 patients with EBSI were enrolled including 157 cases(34.8%) with *** most common co-pathogens were Gram-negative bacteria(57.1%),followed by Gram-positive bacteria(38.3%) and fungi(4.6%).In multivariable analysis,burn injury(adjusted odds ratio [OR],0.136;95% confidence interval [CI],0.050-0.373),and length of prior hospital stay(aOR,1.009;95% CI,1.001-1.017) were associated with *** with mixed-EBSI developed with more proportion of septic shock(19% vs.31.8%,p=0.002),prolonged length of ICU stay [9(0,25) vs.15(2.5,36),p<0.001] and hospital stay [29(16,49) vs.33(18.5,63),p=0.031].The mortality was not significantly different between mixed-EBSI and mono-EBSI(p=0.219).Conclusions:A high rate of mixed-EBSI was among EBSI,and the Gram-negative bacteria were the predominant co-existed *** injury and length of prior hospital stay were independent risk factors for *** the mortality was not different,patients with mixed-EBSI had poor outcomes in comparison with mono-EBSI,which merits more attention by physicians in the future.

关键词： bloodstream infections Mixed-enterococcal bloodstream infections monomicrobial enterococcal bloodstream infections Clinical characteristics Risk factors

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Clinical characteristics and risk factors in mixed-enterococcal bloodstream infections

Clinical characteristics and risk factors in mixed-enterococ...

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2019年浙江省医学会医学微生物与免疫学分会学术大会

作者： Cheng Zheng Jiachang Cai Haizhou Liu Shufang Zhang Li Zhong Nanxia Xuan Hongwei Zhou Kai Zhang Yesong Wang Xijiang Zhang Baoping Tian Zhaocai Zhang Changming Wang Wei Cui Gensheng Zhang Department of Critical Care Medicine Second Affiliated HospitalZhejiang University School of Medicine Department of Critical Care Medicine Taizhou Municipal Hospital Clinical Microbiology Laboratory Second Affiliated HospitalZhejiang University School of Medicine Department of Critical Care Medicine Zhejiang Rehabilitation Hospital Department of Cardiology Second Affiliated HospitalZhejiang University School of Medicine Department of Critical Care Medicine Huzhou First People's Hospital

Objectives:Although the enterococcal bloodstream infections(EBSI) are often observed in clinic,the mixedEBSI were few *** aim of this study was to investigate the clinical characteristics and risk factors of mixedEBSI in comparison with monomicrobial EBSI(mono-EBSI).Methods:A single center retrospective observational study was performed between Jan 1,2013 and Dec 31,2018 in a tertiary *** patients with EBSI were enrolled,and their data were collected by reviewing electronic medical ***:A total of 451 patients with EBSI were enrolled including 157 cases(34.8%) with *** most common co-pathogens were Gram-negative bacteria(57.1%),followed by Gram-positive bacteria(38.3%) and fungi(4.6%).In multivariable analysis,burn injury(adjusted odds ratio [OR],0.136;95% confidence interval [CI],0.050-0.373),and length of prior hospital stay(aOR,1.009;95% CI,1.001-1.017) were associated with *** with mixed-EBSI developed with more proportion of septic shock(19% vs.31.8%,p=0.002),prolonged length of intensive care unit(ICU) stay [9(0,25) vs.15(2.5,36),p<0.001] and hospital stay [29(16,49) vs.33(18.5,63),p=0.031].The mortality was not significantly different between mixed-EBSI and mono-EBSI(p=0.219).Conclusions:A high rate of mixed-EBSI was among EBSI,and the Gram-negative bacteria were the predominant co-existed *** injury and length of prior hospital stay were independent risk factors for *** the mortality was not different,patients with mixed-EBSI had poor outcomes in comparison with mono-EBSI,which merits more attention by physicians in the future.

关键词： bloodstream infections Mixed-enterococcal bloodstream infections monomicrobial enterococcal bloodstream infections Clinical characteristics Risk factors

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