抄録
We aimed to investigate the prevalence of extended-spectrum β-lactamases (ESBL)-producing Escherichia coli (E. coli) in Beijing Tongren hospital and find the relationship between colonization and infection. The clinical data of 650 inpatients included between March 2012 and July 2012 were retrospectively reviewed. The prevalence of ESBL-producing E. coli among inpatients was 25.7% (167/650), with the highest of 50.0% in rheumatology ward and lowest of 10.0% in intensive care unit. Hospital stay more than 2 years, usage of antibiotics less than 3 months, and use of glucocorticoids or immunosuppressive were found to be significantly associated with ESBL carriage (P < 0.05). Totally, 76 sequence types (ST) were revealed by MLST. ST38 (n = 12, 7.2%) was the most common type, followed by ST10 (n = 10, 6.0%), ST131 and ST167 (n = 9, 5.4%). Among the faecal carriers, only one patient suffered infection, which was resulted by a ST38 strain. In conclusion, in Beijing Tongren hospital, the prevalence of ESBL-producing E. coli was not high. The risk factors for ESBL carriage were hospitalization and usage of antibiotics, glucocorticoids and immunosuppressive. ST38, ST10, ST131 and ST167 were the prominent genotypes, but almost 50.0% ST were dispersedly distributed.
