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About:
Antimicrobial resistance in southern China: results of prospective surveillance in Dongguan city, 2017()
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Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Antimicrobial resistance in southern China: results of prospective surveillance in Dongguan city, 2017()
Creator
Metsini, Aliki
Zhou, M
Wang, Jiancong
Zhou, Mouqing
Pittet, D
Zingg, Walter
Wang, J
Guo, Z
Huang, G
Huang, Guobin
Metsini, A
Sauser, Guo
Sauser, J
Sauser, Julien
Zingg, W
source
Elsevier; Medline; PMC
abstract
BACKGROUND: Few studies have estimated the burden of infections due to antimicrobial-resistant (AMR) pathogens in China. AIM: To summarize antimicrobial resistance and assess the frequency of community-associated infections (CAIs) and healthcare-associated infections (HCAIs) due to AMR pathogens in Dongguan city, China. METHODS: Seven acute care hospitals provided antimicrobial susceptibility data for 2017, from which ‘bug–drug’ combinations were analysed. To calculate incidence proportions of CAI and incidence densities of HCAI, data from three tertiary care hospitals were merged with patient data, obtained from the Dongguan Nosocomial Infection Surveillance System. FINDINGS: A total of 16,548 pathogens were analysed. Non-susceptibility to third-generation cephalosporins (3GCs) in Escherichia coli and Klebsiella pneumoniae was 43.9% and 30.2%, respectively. Non-susceptibility to carbapenems in Pseudomonas aeruginosa and Acinetobacter baumannii was 29.5% and 50.9%, respectively. A quarter of Staphylococcus aureus (26.3%) were non-susceptible to oxacillin. The incidence density of HCAI due to E. coli non-susceptible to 3GCs and fluoroquinolones combined was 0.09 (95% confidence interval: 0.07–0.11) per 1000 patient-days. Both E. coli and K. pneumoniae were the predominant pathogens isolated from blood. Compared with the 2017 European Antimicrobial Resistance Surveillance Network report, the incidence proportion of bloodstream infections due to multidrug-resistant E. coli was significantly higher (14.9% and 4.6%, respectively). CONCLUSION: The incidence of non-susceptible bug–drug combinations in Dongguan city was lower compared with China as a whole. Non-susceptible bug–drug combinations were significantly more frequent in HCAI compared with CAI. The incidence proportion of bloodstream infections due to multidrug-resistant pathogens in Dongguan City was higher compared with Europe.
has issue date
2020-03-31
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xsd:dateTime
)
bibo:doi
10.1016/j.jhin.2020.03.029
bibo:pmid
32243952
has license
no-cc
sha1sum (hex)
2e8b59bec949d262c1212fb779206da1fd09d88f
schema:url
https://doi.org/10.1016/j.jhin.2020.03.029
resource representing a document's title
Antimicrobial resistance in southern China: results of prospective surveillance in Dongguan city, 2017()
has PubMed Central identifier
PMC7270154
has PubMed identifier
32243952
schema:publication
J Hosp Infect
resource representing a document's body
covid:2e8b59bec949d262c1212fb779206da1fd09d88f#body_text
is
schema:about
of
named entity 'RESULTS'
named entity 'Antimicrobial resistance'
named entity 'surveillance'
named entity '2017'
named entity 'CITY'
named entity 'PROOF'
named entity 'JOURNAL '
named entity 'PRE'
named entity 'CHINA'
named entity 'PROSPECTIVE'
named entity 'SURVEILLANCE'
named entity 'ANTIMICROBIAL RESISTANCE'
named entity 'SOUTHERN'
named entity 'pathogens'
named entity 'point prevalence'
named entity 'pathogens'
named entity 'Dongguan'
named entity 'southern China'
named entity 'Southern China'
named entity 'pathogens'
named entity 'Staphylococcus aureus'
named entity 'Asia'
named entity 'fluoroquinolones'
named entity 'K. pneumoniae'
named entity 'pathogens'
named entity 'E. coli'
named entity 'K. pneumoniae'
named entity 'Europe'
named entity 'P. aeruginosa'
named entity 'carbapenems'
named entity 'E. coli'
named entity 'France'
named entity 'Guangdong'
named entity 'pathogens'
named entity 'K. pneumoniae'
named entity 'pathogens'
named entity 'fluoroquinolones'
named entity 'K. pneumoniae'
named entity 'A. baumannii'
named entity 'E. coli'
named entity 'CRAB'
named entity 'carbapenems'
named entity 'K. pneumoniae'
named entity 'fluoroquinolones'
named entity 'antimicrobial'
named entity 'tertiary-care'
named entity '95% CI'
named entity 'CHINET'
named entity 'E. coli'
named entity 'Germany'
named entity 'China'
named entity 'Mainland China'
named entity '5.1'
named entity 'European Centre for Disease Prevention and Control'
named entity 'Enterococcus faecium'
named entity 'bloodstream infections'
named entity 'Southern China'
named entity 'severe acute respiratory syndrome'
named entity 'infection prevention and control'
named entity 'tertiary-care'
named entity 'infectious diseases'
named entity 'Enterobacteriaceae'
named entity 'Third-generation cephalosporin'
named entity 'Dongguan'
named entity 'P. aeruginosa'
named entity 'WHO'
named entity 'Asian'
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