High risk of bloodstream infection of carbapenem-resistant enterobacteriaceae carriers in neutropenic children with hematological diseases

Autor: Li-Peng Liu, Qing-Song Lin, Wen-Yu Yang, Xiao-Juan Chen, Fang Liu, Xia Chen, Yuan-Yuan Ren, Min Ruan, Yu-Mei Chen, Li Zhang, Yao Zou, Ye Guo, Xiao-Fan Zhu
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Antimicrobial Resistance and Infection Control, Vol 12, Iss 1, Pp 1-9 (2023)
Druh dokumentu: article
ISSN: 2047-2994
DOI: 10.1186/s13756-023-01269-1
Popis: Abstract Background Neutropenic children with hematological diseases were associated with higher morbidity of carbapenem-resistant enterobacteriaceae (CRE) blood-stream infection (BSI) or colonization. But it was still murky regarding clinical characteristics, antimicrobial susceptibility, and outcomes of CRE-BSI in these patients. We aimed to identify the potential risk factors for subsequent bacteremia and clinical outcome caused by CRE-BSI. Methods Between 2008 and 2020, 2,465 consecutive neutropenic children were enrolled. The incidence and characteristics of CRE-BSI were explored in CRE-colonizers versus non-colonizers. Survival analysis was performed and risk factors for CRE-BSI and 30-day mortality were evaluated. Results CRE-carriers were identified in 59/2465 (2.39%) neutropenic children and19/59 (32.2%) developed CRE-BSI, while 12/2406 (0.5%) of non-carriers developed CRE-BSI (P
Databáze: Directory of Open Access Journals
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