Incidence rate and Risk factors affect Enterobacteriaceae resistant carbapenem infectious of the medicine patients with pneumonia or/and urinary tract infection, Photharam Hospital, Ratchaburi Province
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Abstract
Objective: To evaluate the incidence and factors associated with Enterobacteriaceae resistant carbapenem (CRE) infectios of the medicine patients with pneumonia or/and urinary tract infection, Photharam Hospital.
Method: This was a retrospective descriptive study. We collected data from the medicine patients who were investigated the pneumonia or/and urinary tract at out-in patient department of Photharam Hospital by medical record between April 1St, 2018 and March 31, 2019. All patients data were collected by using M Lab program, HOSxP., Data recorded. The data were analyzed by using frequency, percentage, mean, Standard Deviation, t-test independent, Chi-square test and odds ratio between the CRE infections group the non- CRE infections group using binary logistic regression with 95% confidence interval, reflected a significance level at 0.05. The correlation was assessed by sensitivity and specificity (ROC Curve).
Results: There were 692 patients. The incidence of CRE infection was 10.10%. Risk factors, frequency of admission in a year were CRE infection rates higher than the compare group, significantly (p<0.001). Moreover, risk factors: (history of diabetic, history of using steroid drugs, insection of procedure in hospital: on nasogastric feeding, on drainage, wound dressing, history of antibiotic drugs treatment mare than 2 types. and CRE colonization in other agmission, were statistically significant associated with CRE infection (P< 0.05). If frequency of admission in a year elevated 1 time risk for CRE infection increase 18.6%.
Conclusion: The results of Risk factors that affect Enterobacteriaceae resistant carbapenem infectios of the medicine patients with pneumonia or/and urinary tract infection in this study. Espectively, frequency of admission in a year and other factors were apply to created guideline for patients in Photharam hospital, later.
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doi: 10.1128/AAC.01730-17.
