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Article

Detection and Colonization of Multidrug Resistant Organisms in a Regional Teaching Hospital of Taiwan

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Department of Medical Laboratory, Kaohsiung Municipal Siaogang Hospital, Kaohsiung 81267, Taiwan
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Institute of Biotechnology and Chemical Engineering, I Shou University, Kaohsiung 84001, Taiwan
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Department of Recreation Sports Management, Tajen University, Pingtung 90741, Taiwan
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Department of Emergency Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan
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Department of Medical Laboratory Science and Biotechnology, Chung-Hwa University of Medical Technology, Tainan 71703, Taiwan
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Department of Civil and Ecological Engineering, I Shou University, Kaohsiung 84001, Taiwan
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Department of Food and Human Health Sciences, Osaka City University, Osaka 558-8585, Japan
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(7), 1104; https://doi.org/10.3390/ijerph16071104
Received: 14 February 2019 / Revised: 18 March 2019 / Accepted: 25 March 2019 / Published: 28 March 2019
This study evaluated the prevalence of clinical multidrug-resistant organisms (MDROs) and analyzed correlations between MDROs and patient characteristics in a regional teaching hospital of Taiwan. A retrospective comparative case-control study was conducted from January 2016 to August 2018 by collecting data from 486 hospitalized and non-hospitalized patients (M = 286, F = 200), including patient gender and age, microbial species, and antibiotic susceptibility. The results indicated that at least one MDRO was isolated from 5.3–6.3% of patients (p < 0.05), with an average age of 61.08 years. Of the MDROs strains, vancomycin-resistant enterococcus and carbapenem-resistant acinetobacter baumannii increased annually (p < 0.002 and p < 0.012, respectively). Three factors of age (over 60 years), treatment in an intensive care unit (ICU), and specimen category were statistically significant (p < 0.039, p < 0.001 and p < 0.001, respectively) and indicated that elderly patients in an ICU have a higher risk of being infected by MDROs. The outpatients infected by methicillin-resistant staphylococcus aureus (MRSA) were more frequent than inpatients, implying the existence of community-acquired MRSA strains. The results of this study could provide valuable information for the detection and colonization of multidrug-resistant organisms in hospital infection control systems. View Full-Text
Keywords: multidrug-resistant organisms; vancomycin-resistant enterococcus; carbapenem-resistant acinetobacter baumannii; methicillin-resistant staphylococcus aureus multidrug-resistant organisms; vancomycin-resistant enterococcus; carbapenem-resistant acinetobacter baumannii; methicillin-resistant staphylococcus aureus
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MDPI and ACS Style

Chen, Y.-P.; Liang, C.-C.; Chang, R.; Kuo, C.-M.; Hung, C.-H.; Liao, T.-N.; Liao, C.-S. Detection and Colonization of Multidrug Resistant Organisms in a Regional Teaching Hospital of Taiwan. Int. J. Environ. Res. Public Health 2019, 16, 1104. https://doi.org/10.3390/ijerph16071104

AMA Style

Chen Y-P, Liang C-C, Chang R, Kuo C-M, Hung C-H, Liao T-N, Liao C-S. Detection and Colonization of Multidrug Resistant Organisms in a Regional Teaching Hospital of Taiwan. International Journal of Environmental Research and Public Health. 2019; 16(7):1104. https://doi.org/10.3390/ijerph16071104

Chicago/Turabian Style

Chen, Yi-Ping, Ching-Chao Liang, Renin Chang, Chen-Min Kuo, Chih-Hsin Hung, Tung-Nan Liao, and Chien-Sen Liao. 2019. "Detection and Colonization of Multidrug Resistant Organisms in a Regional Teaching Hospital of Taiwan" International Journal of Environmental Research and Public Health 16, no. 7: 1104. https://doi.org/10.3390/ijerph16071104

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