Changing aetiology of healthcare-associated bloodstream infections at three medical centres in Taiwan, 2000-2011
Journal
Epidemiology and Infection
Journal Volume
142
Journal Issue
10
Pages
2180-2185
Date Issued
2014
Author(s)
Abstract
This multicentre surveillance study was conducted to investigate the trends in incidence and aetiology of healthcare-associated bloodstream infections (HCA-BSIs) in Taiwan. From 2000 to 2011 a total of 56 830 HCA-BSIs were recorded at three medical centres, and coagulase-negative staphylococci (CoNS) were the most common pathogens isolated (n = 9465, 16·7%), followed by E. coli (n = 7599, 13·4%). The incidence of all HCA-BSIs in each and all hospitals significantly increased over the study period owing to the increase of aerobic Gram-positive cocci and Enterobacteriaceae by 4·2% and 3·6%, respectively. Non-fermenting Gram-negative bacteria, Bacteroides spp. and Candida spp. also showed an increase but there was a significant decline in the numbers of methicillin-resistant S. aureus. In conclusion, the incidence of HCA-BSIs in Taiwan is significantly increasing, especially for Enterobacteriaceae and aerobic Gram-positive cocci. ? Cambridge University Press 2013.
SDGs
Other Subjects
Acinetobacter; aerobic bacterium; article; bacterium isolation; Bacteroides; bloodstream infection; Candida; Citrobacter; coagulase negative Staphylococcus; Escherichia coli; healthcare associated infection; hospital; human; Klebsiella; major clinical study; methicillin resistant Staphylococcus aureus; nonhuman; pathogenesis; Pseudomonas aeruginosa; Serratia; Stenotrophomonas maltophilia; Taiwan; trend study; Article; bacterium isolate; bloodstream infection; controlled study; disease surveillance; Enterobacteriaceae; Gram negative bacterium; Gram positive cocci; healthcare associated infection; morbidity; Bacteremia; Bacteroides Infections; Candidiasis; Cross Infection; Drug Resistance, Bacterial; Enterobacteriaceae Infections; Escherichia coli Infections; Gram-Negative Bacterial Infections; Gram-Positive Bacterial Infections; Humans; Incidence; Methicillin Resistance; Methicillin-Resistant Staphylococcus aureus; Staphylococcal Infections; Taiwan
Publisher
Cambridge University Press
Type
journal article