首页|耐碳青霉烯类肺炎克雷伯菌感染危险因素的Meta分析

耐碳青霉烯类肺炎克雷伯菌感染危险因素的Meta分析

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目的 对耐碳青霉烯类肺炎克雷伯菌(CRKP)感染的危险因素进行系统评价.方法 检索PubMed、Embase、中国知网(CNKI)等数据库从建库至2021年12月发表的有关CRKP感染危险因素相关研究文献.采用Stata 15.1软件进行Meta分析.结果 共纳入27篇研究文献,Meta分析结果显示,在纳入的28项危险因素中与CRKP感染相关的危险因素有17项,分别是近期住院史、入住ICU、APACHE II评分、高血压、动静脉导管、机械通气、尿导管、气管插管/切开、胃管、透析,及前期使用碳青霉烯类、头孢类、糖肽类、氨基糖苷类等抗菌药物.结论 近期住院史、入住ICU、APACHE II评分、高血压、有创性操作和前期使用抗菌药物是导致CRKP感染的危险因素.
Meta analysis of risk factors for carbapenem-resistant Klebsiella pneumoniae infection
Objective To systematically review the risk factors of carbapenem-resistant Klebsiella pneumoniae(CRKP)infection.Methods PubMed,Embase,China National Knowledge Infrastructure(CNKI)and other databases were retrieved from the establishment of the database to December 2021 for publications related to the risk factors of CRKP infection.Meta analysis was performed using Stata 15.1 software.Results A total of 27 studies were included.The results of Meta analysis showed that 17 of 28 risk factors were related to CRKP infection,including recent hospitalization,admission to ICU,APACHE II score,hypertension,arteriovenous catheter,mechanical ventilation,urinary catheter,endotracheal intubation/incision,gastric tube,dialysis,and previous use of carbapenems,cephalosporins,glycopeptides,aminoglycosides and other antibiotics.Conclusion Recent hospitalization,ICU admission,APACHE II score,hypertension,invasive procedures,and previous use of antibiotics are risk factors for CRKP infection.

carbapenem resistanceKlebsiella pneumoniaeinfectionrisk factorsMeta-analysis

郭俊妙、袁润奇、邓晓龙、叶丹、毛璞

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广州医科大学附属第一医院,广东广州 510120

耐碳青霉烯类 肺炎克雷伯菌 感染 危险因素 Meta分析

广东省钟南山医学基金会项目

ZNSA-2020012

2024

中国消毒学杂志
军事医学科学院疾病预防控制所,中华预防医学会

中国消毒学杂志

CSTPCD
影响因子:0.754
ISSN:1001-7658
年,卷(期):2024.41(2)
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