Spatial, Ecologic, and Clinical Epidemiology of Community-Onset, Ceftriaxone-Resistant Enterobacteriaceae, Cook County, Illinois, USA.
Spatial, Ecologic, and Clinical Epidemiology of Community-Onset, Ceftriaxone-Resistant Enterobacteriaceae, Cook County, Illinois, USA.
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DOI：
10.3201/eid2708.204235
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发表时间：
2021-08
影响因子：
11.8
通讯作者：
Schwartz DN
中科院分区：
文献类型：
--
作者：
Sardá V;Trick WE;Zhang H;Schwartz DN
我们进行了一个空间和混合生态学研究的社区发病肠杆菌科菌株收集的公共卫生系统在库克县，伊利诺伊州，美国。个人层面的数据收集自电子病历和美国人口普查局的人口普查区层面的数据。通过logistic回归分析确定个体和人群水平特征与头孢曲松耐药之间的关系。空间分析证实了头孢曲松耐药性在人口普查区域的非随机分布，这与西班牙裔、外国出生和无保险居民的比例较高有关。个体水平分析显示，头孢曲松耐药与男性、35-85岁年龄范围、非西班牙裔黑人以外的种族或民族、住院患者遭遇以及分离株来源普查区域中外国出生居民的百分比相关。我们的研究结果表明，社区发病的头孢曲松耐药的肠杆菌科的可能性是受地理和人口水平的变量。制定有效的缓解战略可能取决于更好地考虑这些因素。
We performed a spatial and mixed ecologic study of community-onset Enterobacteriaceae isolates collected from a public healthcare system in Cook County, Illinois, USA. Individual-level data were collected from the electronic medical record and census tract–level data from the US Census Bureau. Associations between individual- and population-level characteristics and presence of ceftriaxone resistance were determined by logistic regression analysis. Spatial analysis confirmed nonrandom distribution of ceftriaxone resistance across census tracts, which was associated with higher percentages of Hispanic, foreign-born, and uninsured residents. Individual-level analysis showed that ceftriaxone resistance was associated with male sex, an age range of 35–85 years, race or ethnicity other than non-Hispanic Black, inpatient encounter, and percentage of foreign-born residents in the census tract of isolate provenance. Our findings suggest that the likelihood of community-onset ceftriaxone resistance in Enterobacteriaceae is influenced by geographic and population-level variables. The development of effective mitigation strategies might depend on better accounting for these factors.
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DOI：
10.1093/cid/cis581
发表时间：
2012-10
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
Hilty M;Betsch BY;Bögli-Stuber K;Heiniger N;Stadler M;Küffer M;Kronenberg A;Rohrer C;Aebi S;Endimiani A;Droz S;Mühlemann K
通讯作者：
Mühlemann K
DOI：
10.1016/j.diagmicrobio.2016.04.022
发表时间：
2016-08-01
影响因子：
2.9
作者：
Lob, Sibylle H.;Nicolle, Lindsay E.;Sahm, Daniel F.
通讯作者：
Sahm, Daniel F.
影响因子：
11.8
作者：
Goodman, Katherine E.;Lessler, Justin;Tamma, Pranita D.
通讯作者：
Tamma, Pranita D.
影响因子：
3.7
作者：
Jørgensen SB;Søraas AV;Arnesen LS;Leegaard TM;Sundsfjord A;Jenum PA
通讯作者：
Jenum PA
影响因子：
11.8
作者：
Johnson JR;Sannes MR;Croy C;Johnston B;Clabots C;Kuskowski MA;Bender J;Smith KE;Winokur PL;Belongia EA
通讯作者：
Belongia EA