Taipei Medical University Institutional Repository:Item 987654321/44506
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    Title: 北部某醫學中心急診室及病房血液培養菌種之比較與分析
    Comparative Study of the Blood Culture Results of Patients Admitted in the Emergency Room and in the General Ward of a Medical Center in Northern Taiwan
    Authors: 李文生;賴惠雯;王炯中;余芳蘭;侯彥卉;歐聰億;謝麗質
    Wen-Sen Lee;Huei-Wen Lai;Giueng-Chueng Wang;Fang-Lan Yu;Yen-Hui Hou;Tsong-Yih Ou;Li-Chih Hsieh
    Keywords: 血流感染,血液培養,污染率,抗藥性;bloodstream infection,blood culture,contamination rate,resistance
    Date: 2010-08
    Issue Date: 2011-10-12 11:57:24 (UTC+8)
    Abstract: 根據前人的報告臨床微生物學及流行病學顯示引起血流感染或菌血症
    的致病菌正逐年改變。本研究目的將北部某醫學中心急診室及病房血液培
    養菌種,做一比較與分析。結果顯示兩者血液培養陽性率相當(急診:
    14.4% '病房13 .4 % ) ,但急診的污染率3 .4%比病房1.7% 明顯偏高
    (p <0.05) ,且coagulase - negative staphylococci (CoNS) 在急診佔22
    % '高於病房的作% (p <0.05) 。總菌種排行急診第一名為Escherichia
    coli ' 病房為CoNS 。細菌抗藥性分析,急診病人methicillin-resistant
    StaphylococcuS aureus (MRSA) 佔32 .4 % '低於病房的51.8 % (p <0.05) ,
    急診病人extended - spectrum ß -Iactamase (ESBl)-E. coli 為6 . 9 % 、
    ESBL - I<lebsiella pneumoniae 為10 % '而病房ESBL-E. coli 為8.2 % 、
    ESBL - 1<. pneumoniae 為18.3% '急診及病房的ESBL-E. coli 及ESBL -1<.
    pneumon個e 無明顯的差異。結論:降低急診血液培養污染率刻不容緩,
    對於急診病人的血流感染或菌血症,抗生素的經驗性療法需考慮抗藥性問
    題。( 感控種誌2010 ; 20:205-14 )
    Relation: 感染控制雜誌 20(4): 205-214.
    Appears in Collections:[Department of Internal Medicine] Periodical Articles

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