加護病房金黃色葡萄球菌菌血症病人與死亡之相關性調查

Influence Factors of Mortality with Staphylococcus aureus Bacteremia in Intensive Care Unit

陳瑛瑛(Yin-Yin Chen) ； 王復德(Fu-Der Wang)

《榮總護理》 24卷1期 (2007/03) Pp. 8-17

https://doi.org/10.6142/VGHN.24.1.8

摘要

A retrospective cohort study was performed to compare mortality rates of methicillin-resistant (MRSA) and methicillin-susceptible (MSSA) S. aureus bacteremia in intensive care unit (ICU). During the research period, the difference rates of MRSA bacteremia (63.9%) and MSSA bacteremia (20%) was 43.9% (p＜.001). Using Kaplan-Meier analysis, the median survial time was on day 12 after onset of MRSA bacteremia and on day 23 after onset of MSSA bacteremia (p＜.001). MRSA (Odds ratio 2.75-3.96, p＜.05) was an independent prognostic factor for mortality by Cox regression analysis and logistic regression analysis. Conclusion: Our data demonstrated MRSA bacteremia led a higher mortality than MSSA bacteremia in ICU.

關鍵字

金黃色葡萄球菌 ； 菌血症 ； 死亡率 ； 加護病房

並列摘要

A retrospective cohort study was performed to compare mortality rates of methicillin-resistant (MRSA) and methicillin-susceptible (MSSA) S. aureus bacteremia in intensive care unit (ICU). During the research period, the difference rates of MRSA bacteremia (63.9%) and MSSA bacteremia (20%) was 43.9% (p＜.001). Using Kaplan-Meier analysis, the median survial time was on day 12 after onset of MRSA bacteremia and on day 23 after onset of MSSA bacteremia (p＜.001). MRSA (Odds ratio 2.75-3.96, p＜.05) was an independent prognostic factor for mortality by Cox regression analysis and logistic regression analysis. Conclusion: Our data demonstrated MRSA bacteremia led a higher mortality than MSSA bacteremia in ICU.

並列關鍵字

Staphylococcus aureus ； bacteremia ； mortality ； intensive care unit