國家衛生研究院 NHRI:Item 3990099045/6415
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/6415


    Title: Increase of carbapenem-resistant acinetobacter baumannii infection in acute care hospitals in Taiwan: Association with hospital antimicrobial usage
    Authors: Su, CH;Wang, JT;Hsiung, CA;Chien, LJ;Chi, CL;Yu, HT;Chang, FY;Chang, SC
    Contributors: Division of Biostatistics and Bioinformatics
    Abstract: Objective: Carbapenem-resistant Acinetobacter baumannii (CRAB) has emerged as an important pathogen causing healthcare-associated infections (HAIs) in Taiwan. The present study is aimed to investigate the epidemiology of HAIs caused by CRAB and the association of CRAB infection and hospital usage of different antimicrobials. Methods: Two nationwide databases in the period 2003 to 2008, the Taiwan Nosocomial Infection Surveillance System and National Health Insurance claim data, were used for analysis. A total of 13,811 healthcare-associated A. baumannii infections and antimicrobial usage data from 121 hospitals were analyzed. Results:There was a significant increase in the proportion of number of HAIs caused by CRAB over that by all A. baumannii (CRABpAB), from 14% in 2003 to 46% in 2008 (P<0.0001). The greatest increase was in central Taiwan, from 4% in 2003 to 62% in 2008 (P<0.0001). Use of anti-pseudomonal carbapenems, but not other classes of antibiotics, was significantly correlated with the increase of CRABpAB (r = 0.86, P<0.0001). Conclusions: We suggested that dedicated use of anti-pseudomonal carbapenems would be an important intervention to control the increase of CRABpAB.
    Date: 2012-05
    Relation: PLoS ONE. 2012 May;7(5):Article number e37788.
    Link to: http://dx.doi.org/10.1371/journal.pone.0037788
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1932-6203&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000305343100051
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84861324067
    Appears in Collections:[Chao A. Hsiung] Periodical Articles

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