Factors Associated with Carbapenem-Resistant Enterobacteriaceae Infection in Somdejphrajaotaksinmaharaj Hospital

Authors

  • Porkaew Petkhaum นายแพทย์ชำนาญการพิเศษ ศูนย์แพทยศาสตรศึกษาชั้นคลินิก โรงพยาบาลสมเด็จพระเจ้าตากสินมหาราช
  • Veerawat Sawatpradit นิสิต หลักสูตรแพทยศาสตรบัณฑิต ศูนย์แพทยศาสตรศึกษาชั้นคลินิก โรงพยาบาลสมเด็จพระเจ้าตากสินมหาราช
  • Siriluk Ariya นิสิต หลักสูตรแพทยศาสตรบัณฑิต ศูนย์แพทยศาสตรศึกษาชั้นคลินิก โรงพยาบาลสมเด็จพระเจ้าตากสินมหาราช
  • Kiattikun Potavee นิสิต หลักสูตรแพทยศาสตรบัณฑิต ศูนย์แพทยศาสตรศึกษาชั้นคลินิก โรงพยาบาลสมเด็จพระเจ้าตากสินมหาราช

Keywords:

Enterobacteriaceae, Carbapenem

Abstract

 

This objective of this research was to examine the factors associated with Carbapenem-resistant Enterobacteriaceae infection. This research was a Cross-sectional analytical study. Data were collected from patient’s medical records in Somdejphrajaotaksinmaharaj Hospital, including patient profile, underlying disease, and present illness. The study was a descriptive research. Data were analyzed using amount of patient, percentage and Chi-square test. The results showed that there were 45 CRE colonized patients found in specimens, divided into Hospital-acquired infection (HAI) group and Colonization group, which are 36 patients and 9 patients respectively. Most of CRE colonized patients are over 60 years old in both groups. In addition, the most of patients were admitted to the internal medicine department. There were 14 days or more of CRE colonized of present on admission. Besides, most of patients were intubated with an endotracheal tube, used urinary catheter and used nasogastric tube more than 7 days. They used to take antibiotic more than two types and the antibiotic types were Cephalosporins, Third and Fourth generation cephalosporins (3rd/4th generations). The result by chi-square showed that the length of stay since admission was statistically significant associated with the carbapenem-resistant Enterobacteriaceae infection.

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Published

2022-01-27

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บทความวิจัย