• 대한간호학회지
• /
• 제51권4호
• /
• pp.414-429
• /
• 2021

Purpose: This systematic review and meta-analysis analyzed the effects of 2% chlorhexidine bathing on the incidence of hospital-acquired infection (HAI) and multidrug-resistant organisms (MDRO) in adult intensive care units. Methods: PubMed, CINAHL, Cochrane library, and RISS database were systematically searched, and 12 randomized studies were included in the analysis. Comprehensive Meta-Analysis version 3.0 was used to calculate the effect size using the odds ratio (OR) and a 95% confidence interval (CI). Subgroup analysis was performed according to the specific infection and intervention types. Results: In general, 2% chlorhexidine bathing has a significant effect on the incidence of HAI (OR, 0.59; 95% CI, 0.40~0.86) and MDRO (OR, 0.52; 95% CI, 0.34~0.79). Subgroup analyses show 2% chlorhexidine bathing is effective in bloodstream infections (OR, 0.51; 95% CI, 0.39~0.66) but not for urinary tract infections, ventilator-associated pneumonia infections, and Clostridium difficile infections. Moreover, 2% chlorhexidine bathing alone or its combination with other interventions has a significant effect on the incidence of HAI and MDRO (OR, 0.59; 95% CI, 0.38~0.92). Conclusion: This meta-analysis reveals that 2% chlorhexidine bathing significantly reduces the incidence of HAI and MDRO in intensive care units. The effect of 2% chlorhexidine bathing on pediatric patients or patients at general wards should be further assessed as a cost-effective intervention for infection control.

• Pediatric Infection and Vaccine
• /
• 제27권2호
• /
• pp.90-101
• /
• 2020

목적: 급성 위장염의 대부분의 경우 원인 병원체가 확인되지 않는다. 최근 들어 발달한 multiplex reverse transcriptase-polymerase chain reaction (RT-PCR) 검사는 장염 병원체 검출에 도움을 줄 수 있다. 이 연구는 multiplex RT-PCR을 이용해, 소아 장염환자에서 병원체의 역학을 조사하고자 하였다. 방법: 2015년 5월부터 2018년 6월까지 대한민국 서울의 2차병원에서 급성 위장염으로 진단받은 소아 환자의 대변에서 병원체를 확인하기 위해 multiplex RT-PCR 검사를 시행하였다. 결과: 바이러스 병원체에 대한 1,366개의 대변 검체 중, 483개(35.3%)에서 1개 이상의 병원체가 분리되었다. A군 로타바이러스는 106건(7.8%)에서 확인되었으며, 양성률은 3.0% (8/263)에서 16.7% (48/288)까지 매년 증가했다(P<0.001). 노로바이러스 GII는 가장 흔한 바이러스성 병원체였고(263/1366, 19.3%), 3년간 양성률은 증가하지 않았다. 세균성 병원체에 대한 304개의 대변 검체 중 캄필로박터(32/304, 10.5%)는 가장 흔한 세균성 병원체였으며, 그 다음으로 Clostridium difficile (toxin B) (22/304, 7.2%), 살모넬라균(17/304, 5.6%)이었다. 이 균들의 양성률은 연구기간 동안 증가하지 않았다. 결론: 로타바이러스 백신 도입 이후 노로바이러스 GII가 소아 장염에서 주요한 병원체였지만, 연구기간 동안 로타바이러스 감염 환자가 증가했고, 특히 2018년에는 급증했다. 따라서 새로운 로타바이러스 균주의 등장 가능성을 포함한 추가 연구가 필요하다. 캄필로박터는 소아 세균성 장염의 주요 원인이며, 적절한 치료를 위해 이 균의 임상적 특성을 고려하고 지속적 감시가 필요하겠다.

• Parasites, Hosts and Diseases
• /
• 제55권5호
• /
• pp.513-521
• /
• 2017

Infectious diarrhea is endemic in most developing countries. We aimed to investigate the protozoan, viral, and bacterial causes of acute diarrhea in Taif, Saudi Arabia. A cross-sectional prospective 1-year study was conducted on 163 diarrheal patients of various ages. Stool samples were collected, 1 per patient, and tested for 3 protozoa, 3 viruses, and 9 bacteria with the Luminex Gastrointestinal Pathogen Panel. Overall, 53.4% (87/163) of samples were positives (20.8% protozoa, 19.6% viruses, 2.8% bacteria, and 9.8% mixed). Rotavirus (19.6%), Giardia duodenalis (16.5%), and Cryptosporidium spp. (8.5%) were the mostly detected pathogens. Adenovirus 40/41 (4.2%), Salmonella (3%), Shiga toxin-producing Escherichia coli (3%), and Entamoeba histolytica (2.4%) were also detected. Norovirus GI/II, Vibrio cholerae, Yersinia enterocolitica, and Clostridium difficile toxin A/B were not detected in any patients. All pathogens were involved in coinfections except E. histolytica. Giardia (5.5%) and rotavirus (3%) were the most commonly detected in co-infections. Enterotoxigenic E. coli (2.4%), Campylobacter spp. (2.4%), E. coli 0157 (1.8%), and Shigella spp. (1.2%) were detected in patients only as co-infections. Infections were more in children 0-4 years, less in adults <40 years, and least >40 years, with statistically significant differences in risk across age groups observed with rotavirus (P<0.001), Giardia (P=0.006), and Cryptosporidium (P=0.036) infections. Lastly, infections were not significantly more in the spring. This report demonstrates the high burden of various enteropathogens in the setting. Further studies are needed to define the impact of these findings on the clinical course of the disease.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제20권2호
• /
• pp.107-113
• /
• 2017

Purpose: This study clarified the bacterial pathogens currently causing acute infectious enterocolitis (AIE) in children and evaluated the clinical characteristics and ultrasonographic findings according to the different pathogens. Methods: Medical records regarding age, sex, clinical symptoms, laboratory data, identified enteropathogens, ultrasonographic findings, treatment, and outcome of 34 patients who were diagnosed with AIE via stool examination using multiplex polymerase chain reaction (PCR) or culture, were retrospectively reviewed. Results: Twenty-four patients (70.6%) were male. The mean age of the patients was $8.5{\pm}6.2$ (range, 1.1-17.1) years. Six bacterial pathogens were isolated: Salmonella species (spp.) (32.4%), Campylobacter spp. (20.6%), verotoxin-producing Escherichia coli (14.7%), Staphylococcus aureus (11.8%), Clostridium difficile (8.8%), and Shigella spp. (2.9%). Abdominal pain occurred in all patients regardless of pathogen. The patients infected with Salmonella were older than those infected with verotoxin-producing E. coli (p<0.05). C-reactive protein levels were higher in patients with Salmonella and Campylobacter infections than in those with verotoxin-producing E. coli infection (p< 0.05), the other clinical and laboratory data were indistinguishable between pathogens. Ultrasonography demonstrated diverse involvement of bowel segments according to pathogen. Wall thickening of both the ileum and the entire colon was the most common lesion site regardless of pathogen. Conclusion: Various bacterial agents cause AIE and the symptoms are diverse symptoms, however, all most children recovered spontaneously. Use of multiplex PCR on stool samples warrants improvement of its sensitivity for diagnosis of enteropathogenic bacteria. Ultrasonographic examination is useful for diagnosis of AIE; it can also detect the disease extent and severity.