Title: ?ICU????MRSA???????MRSA???
1?ICU????MRSA???????MRSA???
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J Clin Microbiol 2010 48683-9.
6. Harbarth et al. JAMA 2008 2991149-1157.
?? 7. Harbarth et al. Crit. Care 2006 10R25.
ICU 8. Hardy et al. Clin. Microbiol. Infect 2010
16333-9. ?? 11. Jeyaratnam et al. BMJ
2008336927-930. ???? 18. Robicsek et al. Ann.
Intern. Med. 148409-418. ????
5Intervention to Reduce Transmission of Resistant
Bacteria in Intensive Care
- Huskins WC, et al. N Engl J Med 2011 364
1407-18.
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8- MRSA?VRE????????
- ???vs??????????( patient-days at risk)40.4 vs
35.6 P0.35.
9Veterans Affairs initiative to prevent
methicillin-resistant Staphylococcus aureus
infections
- Jain R, et al. N Engl J Med 2011 364 1419-30.
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11- ???MRSA???13.63.7
- MRSA????ICU?? 17,??ICU???? 21
- MRSA????????ICU?? 62(?1.64???/???????0.62,Plt0.01)
- MRSA?????????ICU?? 53(?0.47???/???????0.22,Plt0.01
) - ??VRE???ICU??100,??ICU?? 70
- ???????ICU???? ,??ICU?? 57
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13MRSA?????MRSA???
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14?MRSA?????????MRSA???????
- ??ICU?MRSA???6.3,??ICU????13.5
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- OR2.34 (95 CI 1.43-3.83)
- ??12???(2.9)??????????MRSA
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- ?ICU??MRSA?????????3.15??
- OR3.15 (95 CI 0.65-15.19)(?????)
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- ICU?MRSA????10
- JAMA 20093022323-9.
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