Sökning: onr:"swepub:oai:DiVA.org:liu-157141" > High prevalence of ...
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000 | 06983naa a2200769 4500 | |
001 | oai:DiVA.org:liu-157141 | |
003 | SwePub | |
008 | 190529s2019 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:141414715 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1571412 URI |
024 | 7 | a https://doi.org/10.1016/j.jinf.2019.05.0132 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1414147152 URI |
040 | a (SwePub)liud (SwePub)ki | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Tran, Dien M.u Vietnam National Children’s Hospital, Hanoi, Vietnam4 aut |
245 | 1 0 | a High prevalence of colonisation with carbapenem-resistant Enterobacteriaceae among patients admitted to Vietnamese hospitals :b Risk factors and burden of disease |
264 | 1 | b Saunders Elsevier,c 2019 |
338 | a electronic2 rdacarrier | |
500 | a Funding agencies: Karolinska Institute, Solna, Sweden; Linkoping University, County of Ostergotland, Sweden; Swedish Foundation for International Cooperation in Research and Higher Education, STINT, Stockholm, Sweden; European Union, Marie Slodowska Curie Grants; ReAct, Up | |
520 | a BackgroundCarbapenem-resistant Enterobacteriaceae (CRE) is an increasing problem worldwide, but particularly problematic in low- and middle-income countries (LMIC) due to limitations of resources for surveillance of CRE and infection prevention and control (IPC).MethodsA point prevalence survey (PPS) with screening for colonisation with CRE was conducted on 2233 patients admitted to neonatal, paediatric and adult care at 12 Vietnamese hospitals located in northern, central and southern Vietnam during 2017 and 2018. CRE colonisation was determined by culturing of faecal specimens on selective agar for CRE. Risk factors for CRE colonisation were evaluated. A CRE admission and discharge screening sub-study was conducted among one of the most vulnerable patient groups; infants treated at an 80-bed Neonatal ICU from March throughout June 2017 to assess CRE acquisition, hospital-acquired infection (HAI) and treatment outcome.ResultsA total of 1165 (52%) patients were colonised with CRE, most commonly Klebsiella pneumoniae (n=805), Escherichia coli (n=682) and Enterobacter spp. (n=61). Duration of hospital stay, HAI and treatment with a carbapenem were independent risk factors for CRE colonisation. The PPS showed that the prevalence of CRE colonisation increased on average 4.2 % per day and mean CRE colonisation rates increased from 13% on the day of admission to 89% at day 15 of hospital stay. At the NICU CRE colonisation increased from 32% at admission to 87% at discharge, mortality was significantly associated (OR 5•5, P < 0•01) with CRE colonisation and HAI on admission.ConclusionThese data indicate that there is an epidemic spread of CRE in Vietnamese hospitals with rapid transmission to hospitalised patients. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Infektionsmedicin0 (SwePub)302092 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Infectious Medicine0 (SwePub)302092 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng |
653 | a Carbapenem resistance enterobacteriaceae | |
653 | a CRE | |
653 | a Hospital acquired infections | |
653 | a HAI | |
653 | a Colonisation | |
653 | a Mortality | |
700 | 1 | a Larsson, Mattiasu Karolinska Institutet4 aut |
700 | 1 | a Olson, Linusu Karolinska Institutet4 aut |
700 | 1 | a Hoang, Ngoc T.B.u Vietnam National Children’s Hospital, Hanoi, Vietnam4 aut |
700 | 1 | a Le, Ngai K.u Vietnam National Children’s Hospital, Hanoi, Vietnam; Training and Research Academic Collaboration Sweden-Vietnam, Vietnam4 aut |
700 | 1 | a Khu, Dung T.K.u Vietnam National Children’s Hospital, Hanoi, Vietnam; Training and Research Academic Collaboration Sweden-Vietnam, Vietnam4 aut |
700 | 1 | a Nguyen, Hung D.u St Paul Hospital, Hanoi, Vietnam4 aut |
700 | 1 | a Vu, Tam V.u Uong Bi Hospital, Quang Ninh, Vietnam4 aut |
700 | 1 | a Trinh, Tinh H.u Binh Dinh General Hospital, Vietnam4 aut |
700 | 1 | a Le, Thinh Q.u Children’s Hospital 1, Ho Chi Minh City (HCMC), Vietnam4 aut |
700 | 1 | a Phan, Phuong T.T.u Phu San Hanoi, Vietnam4 aut |
700 | 1 | a Nguyen, Binh G.u Bach Mai Hospital, Hanoi, Vietnam4 aut |
700 | 1 | a Pham, Nhung H.u Bach Mai Hospital, Hanoi, Vietnam4 aut |
700 | 1 | a Mai, Bang H.u 108 Military Central Hospital, Hanoi, Vietnam4 aut |
700 | 1 | a Nguyen, Tuan V.u 108 Military Central Hospital, Hanoi, Vietnam4 aut |
700 | 1 | a Nguyen, Phuong T.K.u 108 Military Central Hospital, Hanoi, Vietnam4 aut |
700 | 1 | a Le, Nhan D.u Da Nang General Hospital, Vietnam4 aut |
700 | 1 | a Huynh, Tuan M.u University Medical Clinic, HCMC, Vietnam4 aut |
700 | 1 | a Thu, Le T.H.u Cho Ray Hospital, HCMC, Vietnam4 aut |
700 | 1 | a Thanh, Tran Chiu Training and Research Academic Collaboration Sweden-Vietnam, Vietnam4 aut |
700 | 1 | a Berglund, Björnu Linköpings universitet,Avdelningen för mikrobiologi, infektion och inflammation,Medicinska fakulteten4 aut |
700 | 1 | a Nilsson, Lennart E.u Linköpings universitet,Avdelningen för mikrobiologi, infektion och inflammation,Medicinska fakulteten4 aut0 (Swepub:liu)lenni43 |
700 | 1 | a Bornefall, Elin,d 1989-u Linköpings universitet,Avdelningen för mikrobiologi, infektion och inflammation,Medicinska fakulteten4 aut |
700 | 1 | a Song, Le H.u 108 Military Central Hospital, Hanoi, Vietnam4 aut |
700 | 1 | a Hanberger, Håkan,d 1954-u Linköpings universitet,Avdelningen för mikrobiologi, infektion och inflammation,Medicinska fakulteten,Region Östergötland, Infektionskliniken i Östergötland,Training and Research Academic Collaboration Sweden-Vietnam, Vietnam4 aut0 (Swepub:liu)hakha84 |
700 | 1 | a Thu, LA4 aut |
710 | 2 | a Karolinska Institutetb Vietnam National Children’s Hospital, Hanoi, Vietnam4 org |
773 | 0 | t Journal of Infectiond : Saunders Elsevierg 79:2, s. 115-122q 79:2<115-122x 0163-4453x 1532-2742 |
856 | 4 | u https://liu.diva-portal.org/smash/get/diva2:1318942/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 | u http://www.journalofinfection.com/article/S0163445319301574/pdf |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-157141 |
856 | 4 8 | u https://doi.org/10.1016/j.jinf.2019.05.013 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:141414715 |
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