Risk Factors for Carbapenem-Resistant Pseudomonas aeruginosa, Zhejiang Province, China

Carbapenem-resistant Pseudomonas aeruginosa (CRPA) is a public health concern worldwide, but comprehensive analysis of risk factors for CRPA remains limited in China. We conducted a retrospective observational study of carbapenem resistance in 71,880 P. aeruginosa isolates collected in Zhejiang Prov...

Full description

Bibliographic Details
Main Authors: Yan-Yan Hu, Jun-Min Cao, Qing Yang, Shi Chen, Huo-Yang Lv, Hong-Wei Zhou, Zuowei Wu, Rong Zhang
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2019-10-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/25/10/18-1699_article
_version_ 1818318788305616896
author Yan-Yan Hu
Jun-Min Cao
Qing Yang
Shi Chen
Huo-Yang Lv
Hong-Wei Zhou
Zuowei Wu
Rong Zhang
author_facet Yan-Yan Hu
Jun-Min Cao
Qing Yang
Shi Chen
Huo-Yang Lv
Hong-Wei Zhou
Zuowei Wu
Rong Zhang
author_sort Yan-Yan Hu
collection DOAJ
description Carbapenem-resistant Pseudomonas aeruginosa (CRPA) is a public health concern worldwide, but comprehensive analysis of risk factors for CRPA remains limited in China. We conducted a retrospective observational study of carbapenem resistance in 71,880 P. aeruginosa isolates collected in Zhejiang Province during 2015–2017. We analyzed risk factors for CRPA, including the type of clinical specimen; the year, season, and region in which it was collected; patient information, including age, whether they were an outpatient or inpatient, and whether inpatients were in the intensive care unit or general ward; and the level of hospital submitting isolates. We found CRPA was more prevalent among isolates from patients >60 years of age and in inpatients, especially in intensive care units. In addition, specimen types and seasons in which they were collected were associated with higher rates of CRPA. Our findings can help hospitals reduce the spread of P. aeruginosa and optimize antimicrobial drug use.
first_indexed 2024-12-13T09:58:47Z
format Article
id doaj.art-7afd53e9512f4d769102bdc95a3c2812
institution Directory Open Access Journal
issn 1080-6040
1080-6059
language English
last_indexed 2024-12-13T09:58:47Z
publishDate 2019-10-01
publisher Centers for Disease Control and Prevention
record_format Article
series Emerging Infectious Diseases
spelling doaj.art-7afd53e9512f4d769102bdc95a3c28122022-12-21T23:51:42ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592019-10-0125101861186710.3201/eid2510.181699Risk Factors for Carbapenem-Resistant Pseudomonas aeruginosa, Zhejiang Province, ChinaYan-Yan HuJun-Min CaoQing YangShi ChenHuo-Yang LvHong-Wei ZhouZuowei WuRong ZhangCarbapenem-resistant Pseudomonas aeruginosa (CRPA) is a public health concern worldwide, but comprehensive analysis of risk factors for CRPA remains limited in China. We conducted a retrospective observational study of carbapenem resistance in 71,880 P. aeruginosa isolates collected in Zhejiang Province during 2015–2017. We analyzed risk factors for CRPA, including the type of clinical specimen; the year, season, and region in which it was collected; patient information, including age, whether they were an outpatient or inpatient, and whether inpatients were in the intensive care unit or general ward; and the level of hospital submitting isolates. We found CRPA was more prevalent among isolates from patients >60 years of age and in inpatients, especially in intensive care units. In addition, specimen types and seasons in which they were collected were associated with higher rates of CRPA. Our findings can help hospitals reduce the spread of P. aeruginosa and optimize antimicrobial drug use.https://wwwnc.cdc.gov/eid/article/25/10/18-1699_articleCarbapenemrisk factorsPseudomonas aeruginosabacteriaantimicrobial resistancesurveillance
spellingShingle Yan-Yan Hu
Jun-Min Cao
Qing Yang
Shi Chen
Huo-Yang Lv
Hong-Wei Zhou
Zuowei Wu
Rong Zhang
Risk Factors for Carbapenem-Resistant Pseudomonas aeruginosa, Zhejiang Province, China
Emerging Infectious Diseases
Carbapenem
risk factors
Pseudomonas aeruginosa
bacteria
antimicrobial resistance
surveillance
title Risk Factors for Carbapenem-Resistant Pseudomonas aeruginosa, Zhejiang Province, China
title_full Risk Factors for Carbapenem-Resistant Pseudomonas aeruginosa, Zhejiang Province, China
title_fullStr Risk Factors for Carbapenem-Resistant Pseudomonas aeruginosa, Zhejiang Province, China
title_full_unstemmed Risk Factors for Carbapenem-Resistant Pseudomonas aeruginosa, Zhejiang Province, China
title_short Risk Factors for Carbapenem-Resistant Pseudomonas aeruginosa, Zhejiang Province, China
title_sort risk factors for carbapenem resistant pseudomonas aeruginosa zhejiang province china
topic Carbapenem
risk factors
Pseudomonas aeruginosa
bacteria
antimicrobial resistance
surveillance
url https://wwwnc.cdc.gov/eid/article/25/10/18-1699_article
work_keys_str_mv AT yanyanhu riskfactorsforcarbapenemresistantpseudomonasaeruginosazhejiangprovincechina
AT junmincao riskfactorsforcarbapenemresistantpseudomonasaeruginosazhejiangprovincechina
AT qingyang riskfactorsforcarbapenemresistantpseudomonasaeruginosazhejiangprovincechina
AT shichen riskfactorsforcarbapenemresistantpseudomonasaeruginosazhejiangprovincechina
AT huoyanglv riskfactorsforcarbapenemresistantpseudomonasaeruginosazhejiangprovincechina
AT hongweizhou riskfactorsforcarbapenemresistantpseudomonasaeruginosazhejiangprovincechina
AT zuoweiwu riskfactorsforcarbapenemresistantpseudomonasaeruginosazhejiangprovincechina
AT rongzhang riskfactorsforcarbapenemresistantpseudomonasaeruginosazhejiangprovincechina