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ANALYSIS OF CLINICAL CHARACTERISTICS AND RISK FACTORS FOR ANTIBIOTIC-RESISTANT K.PNEUMONIAE IN CRITICAL CARE DEPARTMENT OF HUU NGHI HOSPITAL
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Abstract
Objectives: to describe patient characteristics and risk factors for antibiotic-resistant K.pneumoniae. Subjects: patients with K.pneumoniae treated at Critical care department of Huu Nghi Hospital from June 1, 2021 to June 30, 2022. Method: prospective, descriptive. Results: Male accounted for 90%, Average age was 81.4; 92.5% of patients on mechanical ventilation, 77.5% of patients with central venous catheters, glomerular filtration rate 43.2 ± 17.3 ml/min; pneumonia accounted for 62.5%, co-infection accounted for 37.5%. Risk factors for ESBL-producing strains: onset of infection in the ICU (3.4); mechanical ventilation for more than 7 days (2.6); patients with central venous catheterization (2.4); intravenous nutrition (2.3); hemodialysis (1.9). Conclusion: The group of elderly patients, mainly male, low glomerular filtration rate, mainly pneumonia, high rate of co-infection, have risk factors for antibiotic-resistant strains:mechanical ventilation, intervention, intravenous nutrition, dialysis.
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Keywords
K.pneumonia, ESBL positive, risk factors
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