Nosocomial spontaneous bacterial peritonitis antibiotic treatment in the era of multi-drug resistance pathogens: A systematic review

被引：41

作者：

Fiore, Marco ^{[1
]}

Maraolo, Alberto Enrico ^{[2
]}

Gentile, Ivan ^{[2
]}

Borgia, Guglielmo ^{[2
]}

Leone, Sebastiano ^{[3
]}

Sansone, Pasquale ^{[1
]}

Passavanti, Maria Beatrice ^{[1
]}

Aurilio, Caterina ^{[1
]}

Pace, Maria Caterina ^{[1
]}

机构：

[1] Univ Campania Luigi Vanvitelli, Dept Anaesthesiol Surg & Emergency Sci, Piazza Miraglia 2, I-80138 Naples, Italy

[2] Univ Naples Federico II, Sect Infect Dis, Dept Clin Med & Surg, I-80131 Naples, Italy

[3] San Giuseppe Moscati Hosp, Div Infect Dis, I-83100 Avellino, Italy

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2017年 / 23卷 / 25期

关键词：

hospital-acquired infections Nosocomial; spontaneous bacterial peritonitis; multidrug resistant bacteria; cirrhosis; critically ill patient; CIRRHOTIC-PATIENTS; LIVER-CIRRHOSIS; RISK-FACTORS; INFECTIONS; IMPACT; ACQUISITION; MANAGEMENT; CHALLENGE; FAILURE;

D O I：

10.3748/wjg.v23.i25.4654

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

AIM To systematically review literature upon aetiology of nosocomial spontaneous bacterial peritonitis (N-SBP) given the rising importance of multidrug-resistant (MDR) bacteria. METHODS A literature search was performed on MEDLINE and Google Scholar databases from 2000 to 15th of November 2016, using the following search strategy: "spontaneous" AND "peritonitis". RESULTS The initial search through electronic databases retrieved 2556 records. After removing duplicates, 1958 records remained. One thousand seven hundred and thirty-five of them were excluded on the basis of the screening of titles and abstract, and the ensuing number of remaining articles was 223. Of these records, after careful evaluation, only 9 were included in the qualitative analysis. The overall proportion of MDR bacteria turned out to be from 22% to 73% of cases across the studies. CONCLUSION N-SBP is caused, in a remarkable proportion, by MDR pathogens. This should prompt a careful re-assessment of guidelines addressing the treatment of this clinical entity.

引用

页码：4654 / 4660

页数：7

共 48 条

[1] Multiresistant bacterial infections in liver cirrhosis: Clinical impact and new empirical antibiotic treatment policies [J].