1. Epidemiology and Risk Factors of Community-Associated Bloodstream Infections in Zhejiang Province, China, 2017–2020
- Author
-
An,Rongcheng, Ou,Yingwei, Pang,Lingxiao, Yuan,Yongsheng, Li,Qian, Xu,Hao, Sheng,Bin, An,Rongcheng, Ou,Yingwei, Pang,Lingxiao, Yuan,Yongsheng, Li,Qian, Xu,Hao, and Sheng,Bin
- Abstract
Rongcheng An,1 Yingwei Ou,1 Lingxiao Pang,1 Yongsheng Yuan,1 Qian Li,1 Hao Xu,2 Bin Sheng1 1Emergency and Critical Care Center, Department of Emergency Medicine, Zhejiang Provincial Peopleâs Hospital (Affiliated Peopleâs Hospital, Hangzhou Medical College), Hangzhou, Peopleâs Republic of China; 2Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Peopleâs Republic of ChinaCorrespondence: Bin Sheng, Emergency and Critical Care Center, Department of Emergency Medicine, Zhejiang Provincial Peopleâs Hospital (Affiliated Peopleâs Hospital, Hangzhou Medical College), Hangzhou, Peopleâs Republic of China, Tel +86 571 85893793, Email shengbin@hmc.edu.cnPurpose: Community-associated bloodstream infection (CA-BSI) is increasing in many community settings. However, the clinical significance and epidemiology of CA-BSI present in hospital admissions in China are not well established. In this work, we identified the risk factors in outpatients presenting with CA-BSI, and investigate the role of procalcitonin (PCT) and hypersensitive C-reactive protein (CRP) in diagnosing different types of the pathogen in patients with acute CA-BSI.Methods: A retrospective study enrolling 219 outpatients with CA-BSI from The Zhejiang Peopleâs Hospital from January 2017 to December 2020 was performed. Susceptibility of the isolates obtained from these patients was examined. Subjecting receiver operating characteristic curves (ROC) were constructed to analyze the specificity and sensitivity of PCT, CRP, and WBC in determining infections caused by different bacterial genera. Risk factors for CA-BSI in the emergency setting were analyzed using essential information and simple identification of other pathogenic bacterial species through rapidly tested biomarkers.Results: A total of 219 patients were i
- Published
- 2023