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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1998-9-24
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pubmed:abstractText |
Because of recurrent colonization by Klebsiella pneumoniae strains producing type SHV-4 extended-spectrum beta-lactamases (ESBLs), a case-control study was conducted in an intensive care unit to investigate the risk of acquisition, with special reference to antibiotic therapy and resuscitation procedures. Fifty-one patients colonized or infected by ESBL-producing K. pneumoniae (cases) were matched with 51 noncolonized patients (controls). Duration of intubation was significantly longer for cases than for controls, while duration of beta-lactamase inhibitor therapy was significantly shorter. By means of multivariate analysis, intubation was the only risk factor identified (odds ratio [OR] = 1.19), while beta-lactamase inhibitor therapy was shown to be a protective factor (OR = 0.849). During outbreaks of SHV-4 type ESBL-producing K. pneumoniae in intensive care units, preferential use of beta-lactamase inhibitors may help control the emergence and spread of these pathogens even if essential hand washing and isolation procedures are adhered to.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
1058-4838
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
27
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
76-80
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9675456-Adult,
pubmed-meshheading:9675456-Aged,
pubmed-meshheading:9675456-Anti-Bacterial Agents,
pubmed-meshheading:9675456-Case-Control Studies,
pubmed-meshheading:9675456-Cross Infection,
pubmed-meshheading:9675456-Drug Resistance, Microbial,
pubmed-meshheading:9675456-Female,
pubmed-meshheading:9675456-Humans,
pubmed-meshheading:9675456-Intensive Care Units,
pubmed-meshheading:9675456-Klebsiella Infections,
pubmed-meshheading:9675456-Klebsiella pneumoniae,
pubmed-meshheading:9675456-Logistic Models,
pubmed-meshheading:9675456-Male,
pubmed-meshheading:9675456-Middle Aged,
pubmed-meshheading:9675456-Multivariate Analysis,
pubmed-meshheading:9675456-Risk Factors,
pubmed-meshheading:9675456-beta-Lactamases
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pubmed:year |
1998
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pubmed:articleTitle |
Spread of extended-spectrum beta-lactamase-producing Klebsiella pneumoniae: are beta-lactamase inhibitors of therapeutic value?
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pubmed:affiliation |
Service de Réanimation Médicale, Centre Hospitalo-Universitaire de Dijon, France.
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pubmed:publicationType |
Journal Article
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