Evidence map›Paper›PMID 38769515›Full record

ArticleAntimicrobial resistance and infection control2024

Implications of deduplication on the detection rates of multidrug-resistant organism (MDRO) in various specimens: insights from the hospital infection surveillance program.

Zhanjie Li, Dan Zhu, Xiaoju Ma, Feng Zang, Weihong Zhang, Can Luo, Chuanlong Zhu, Wensen Chen, Ping Zhu

Abstract read
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Article in Antimicrobial resistance and infection control, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Zhanjie Li *Department of Infection Control, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Dan Zhu *Department of Hospital Infection Management, Huabei Petroleum Administration Bureau General Hospital, Cangzhou, Hebei, 062550, China.
Xiaoju MaDepartment of Hospital Acquired Infection Control and Public Health Management, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, Guangdong, 518107, China.
Feng ZangDepartment of Infection Control, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Weihong ZhangDepartment of Infection Control, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Can LuoDepartment of Infection Control, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Chuanlong ZhuDepartment of Infectious Disease, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China. zhuchuanlong@jsph.org.cn.
Wensen ChenDepartment of Infection Control, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China. wensenchen@njmu.edu.cn.
Ping ZhuDepartment of Quality Management, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China. 13954369@qq.com.

Funding

Jiangsu Province Hospital Management Innovation Research Project JSYGY-3-2023-559Jiangsu Provincial Association for Science and Technology Young Science and Technology Talent Support Project (Health Field) JSTJ-2023-WJ006Project of Chinese Hospital Reform and Development Institute, Nanjing University NDYG2023039The third Outstanding Young and Middle-aged Talents Training Program of Jiangsu Provincial People's Hospital YNRCQN0314Young Scholars Fostering Fund of the First Affiliated Hospital of Nanjing Medical University PY2022017
6 · The paper itself

Abstract

backgroundCurrently, different guidelines recommend using different methods to determine whether deduplication is necessary when determining the detection rates of multidrug-resistant organisms (MDROs). However, few studies have investigated the effect of deduplication on MDRO monitoring data. In this study, we aimed to investigate the influence of deduplication on the detection rates of MDROs in different specimens to assess its impact on infection surveillance outcomes.

methodsSamples were collected from hospitalized patients admitted between January 2022 and December 2022; four types of specimens were collected from key monitored MDROs, including sputum samples, urine samples, blood samples, and bronchoalveolar lavage fluid (BALF) samples. In this study, we compared and analysed the detection rates of carbapenem-resistant Klebsiella pneumoniae (CRKP), carbapenem-resistant Escherichia coli (CRECO), carbapenem-resistant Acinetobacter baumannii (CRAB), carbapenem-resistant Pseudomonas aeruginosa (CRPA), and methicillin-resistant Staphylococcus aureus (MRSA) under two conditions: with and without deduplication.

resultsWhen all specimens were included, the detection rates of CRKP, CRAB, CRPA, and MRSA without deduplication (33.52%, 77.24%, 44.56%, and 56.58%, respectively) were significantly greater than those with deduplication (24.78%, 66.25%, 36.24%, and 50.83%, respectively) (all P < 0.05). The detection rates in sputum samples were significantly different between samples without duplication (28.39%, 76.19%, 46.95%, and 70.43%) and those with deduplication (19.99%, 63.00%, 38.05%, and 64.50%) (all P < 0.05). When deduplication was not performed, the rate of detection of CRKP in urine samples reached 30.05%, surpassing the rate observed with deduplication (21.56%) (P < 0.05). In BALF specimens, the detection rates of CRKP and CRPA without deduplication (39.78% and 53.23%, respectively) were greater than those with deduplication (31.62% and 42.20%, respectively) (P < 0.05). In blood samples, deduplication did not have a significant impact on the detection rates of MDROs.

conclusionDeduplication had a significant effect on the detection rates of MDROs in sputum, urine, and BALF samples. Based on these data, we call for the Infection Prevention and Control Organization to align its analysis rules with those of the Bacterial Resistance Surveillance Organization when monitoring MDRO detection rates.

Indexed as

Cross InfectionDrug Resistance, Multiple, BacterialKlebsiella pneumoniaeSputumAcinetobacter baumanniiAnti-Bacterial AgentsBronchoalveolar Lavage FluidCarbapenemsEpidemiological MonitoringEscherichia coliHospitalsHumansMethicillin-Resistant Staphylococcus aureusPseudomonas aeruginosaAnti-Bacterial AgentsCarbapenemsDeduplicateDetection ratesDifferent specimensImplicationsMDRO

Identifiers

PMID38769515
PMCPMC11107067

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.