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Risk factors for carbapenem-resistant Enterobacteriaceae infections: a French case-control-control study
- Source :
- European Journal of Clinical Microbiology and Infectious Diseases, European Journal of Clinical Microbiology and Infectious Diseases, Springer Verlag, 2019, 38 (2), pp.383-393. ⟨10.1007/s10096-018-3438-9⟩, European Journal of Clinical Microbiology and Infectious Diseases, 2019, 38 (2), pp.383-393. ⟨10.1007/s10096-018-3438-9⟩, European Journal of Clinical Microbiology and Infectious Diseases 2 (38), 383-393. (2019)
- Publication Year :
- 2019
- Publisher :
- HAL CCSD, 2019.
-
Abstract
- Electronic supplementary material : The online version of this article ( https://doi.org/10.1007/s10096-018-3438-9) contains supplementary material, which is available to authorized users.; International audience; This study aimed to assess characteristics associated with infections due to carbapenem-resistant Enterobacteriaceae (CRE), producing (CPE) or not producing (non-CPE) carbapenemase, among hospitalised patients in 2014-2016 in France. Case-patients with CRE were compared to two control populations. In multivariate analysis comparing 160 CRE cases to 160 controls C1 (patients with a clinical sample positive for carbapenem-susceptible Enterobacteriaceae), five characteristics were linked to CRE: male gender (OR = 1.9; 95% CI = 1.3-3.4), travel in Asia (OR = 10.0; 95% CI = 1.1-91.2) and hospitalisation in (OR = 2.4; 95% CI = 1.3-4.4) or out of (OR = 4.4; 95% CI = 0.8-24.1) France in the preceding 12 months, infection in the preceding 3 months (OR = 3.0; 95% CI = 1.5-5.9), and antibiotic receipt between admission and inclusion (OR = 1.9; 95% CI = 1.0-3.3). In multivariate analysis comparing 148 CRE cases to 148 controls C2 [patients with culture-negative sample(s)], four characteristics were identified: prior infection (OR = 3.3; 95% CI = 1.6-6.8), urine drainage (OR = 3.0; 95% CI = 1.5-6.1) and mechanical ventilation (OR = 3.7; 95% CI = 1.1-13.0) during the current hospitalisation, and antibiotic receipt between admission and inclusion (OR = 6.6; 95% CI = 2.8-15.5). Univariate analyses comparing separately CPE cases to controls (39 CPE vs C1 and 36 CPE vs C2) and non-CPE cases to controls (121 non-CPE vs C1 and 112 non-CPE vs C2), concomitantly with comparison of CPE to non-CPE cases showed that only CPE cases were at risk of previous travel and hospitalisation abroad. This study shows that, among CRE, risk factors are different for CPE and non-CPE infection, and suggests that question patients about their medical history and lifestyle should help for early identification of patients at risk of CPE among patients with CRE.
- Subjects :
- Male
0301 basic medicine
Multivariate analysis
résistance aux antibiotiques
Carbapenem-resistant enterobacteriaceae
Carbapenem-resistant Enterobacteriaceae (CRE)
Carbapenemase-producing Enterobacteriaceae (CPE)
Case-control-control study
Multicentre study
Risk factors
0302 clinical medicine
Medical microbiology
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
030212 general & internal medicine
ComputingMilieux_MISCELLANEOUS
Aged, 80 and over
Univariate analysis
Microbiology and Parasitology
Enterobacteriaceae Infections
General Medicine
Middle Aged
Microbiologie et Parasitologie
Anti-Bacterial Agents
3. Good health
[STAT]Statistics [stat]
facteur de risque
Infectious Diseases
[SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology
[SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Female
France
Adult
Microbiology (medical)
medicine.medical_specialty
030106 microbiology
Médecine humaine et pathologie
Microbial Sensitivity Tests
beta-Lactamases
03 medical and health sciences
Bacterial Proteins
Enterobacteriaceae
Internal medicine
medicine
entérobacteriaceae
Humans
Medical history
Male gender
Aged
business.industry
infection bactérienne
biochemical phenomena, metabolism, and nutrition
[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology
Carbapenem-Resistant Enterobacteriaceae
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
Case-Control Studies
Human health and pathology
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
Subjects
Details
- Language :
- English
- ISSN :
- 09349723 and 14354373
- Database :
- OpenAIRE
- Journal :
- European Journal of Clinical Microbiology and Infectious Diseases, European Journal of Clinical Microbiology and Infectious Diseases, Springer Verlag, 2019, 38 (2), pp.383-393. ⟨10.1007/s10096-018-3438-9⟩, European Journal of Clinical Microbiology and Infectious Diseases, 2019, 38 (2), pp.383-393. ⟨10.1007/s10096-018-3438-9⟩, European Journal of Clinical Microbiology and Infectious Diseases 2 (38), 383-393. (2019)
- Accession number :
- edsair.doi.dedup.....3ab5c4218c5b5ab2b4864c84e71b5178