| Titre : | Trends in Hospitalizations with Antibiotic-Resistant Infections : U.S., 1997-2006. (2011) |
| Auteurs : | Arch-Giii MAINOUS ; Vanessa-A DIAZ ; Seth-H GREGORIE ; William-J HUESTON ; Eric-M MATHESON |
| Type de document : | Article |
| Dans : | Public health reports (vol. 126, n° 3, 2011) |
| Pagination : | 354-360 |
| Langues: | Anglais |
| Mots-clés : | Infection ; Tendance séculaire ; Hospitalisation ; Médicament antibiotique |
| Résumé : | [BDSP. Notice produite par INIST-CNRS CtR0x97A. Diffusion soumise à autorisation]. Objectives. Antibiotic resistance is a significant global problem, but the trends in prevalence and impact of antibiotic resistance in hospitalizations in the United States are unclear. We evaluated the trends in hospitalizations associated with antibiotic-resistant infections in U.S. hospitals from 1997 to 2006. Methods. We analyzed the National Hospital Discharge Survey (NHDS) during 1997-2006 (unweighted n=3.3 million hospitalizations ; weighted n=370.3 million hospitalizations) and examined trends in prevalence of hospitalizations with antibiotic-resistant infections, length of stay, and discharge status. Results. The number of infection-related hospitalizations with antibiotic resistance increased 359% during the 10-year period, from 37,005 in 1997 to 169,985 in 2006. The steepest rise was seen among individuals<18 years of age. The mean age of individuals with infection-related hospitalizations that had antibiotic-resistant infections decreased substantially, from 65.7 years (standard error [SE]=2.01) in 1997 to 44.2 years (SE=1.47) in 2006. As the proportion of patients with antibiotic-resistant infections who did not have insurance increased, the length of stay for those hospitalizations had a corresponding decrease (r=0.91, p<0.01). Conclusions. Antibiotic-resistant infections are becoming increasingly commonplace in hospitalizations in the U.S., with a steady upward trend between 1997 and 2006. Antibiotic-resistant infections are increasingly being seen in younger patients and those without health insurance. |
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