[Risk factors for multidrug-resistant Klebsiella pneumoniae sepsis in children]

Autor: Chao, Cheng, Ye-Xin, Lin, Jiu-Jun, Li, Zhi-Jie, Zhang
Rok vydání: 2015
Předmět:
Zdroj: Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics. 17(9)
ISSN: 1008-8830
Popis: To explore the risk factors for sepsis caused by multidrug-resistant Klebsiella pneumonia (MDR-KP) and to provide a reference for the prevention of MDR-KP sepsis and rational use of antibiotics.A retrospective case-control study of 41 children with MDR-KP sepsis (case group) and 53 pediatric patients without MDR-KP sepsis (control group) between March 2010 and Febrary 2014 was conducted. Multiple logistic regression analysis was performed to estimate the independent risk factors for MDR-KP sepsis.Compared with the control group, the case group had a longer length of stay in the PICU before infection (P0.05), more prolonged duration of mechanical ventilation before infection (P0.05), a larger total number of days of mechanical ventilation (P0.05), more days of antibiotic use before infection (P0.05), more types of antibiotics used before infection (P0.05), and a higher mortality (P0.05). The logistic regression analysis showed that more types of antibiotics used before infection and use of third-generation cephalosporin and carbapenems were independent risk factors for MDR-KP sepsis (P0.05).Rational use of antibiotics is an effective measure to prevent MDR-KP sepsis.
Databáze: OpenAIRE