1.Analysis on clinical distribution and drug resistance of 286 strains of Staphylococcus aureus
Hengbiao SUN ; Jing HUANG ; Jing ZHANG ; Zuhan PANG ; Youming CHEN
International Journal of Laboratory Medicine 2014;(22):3061-3063
Objective To analyze the clinical distribution and drug resistance of Staphylococcus aureus isolated from the speci‐mens of inpatient and outpatient in 2013 .Methods All of the isolated Staphylococcus aureus were identified and tested drug sensi‐tivity in 2013 ,and the results were analyzed .Results 286 strains of Staphylococcus aureus were isolated with the detection rate of MRSA accounting for 46 .9% .The respiratory specimens had the highest detection rates of Staphylococcus aureus and MRSA .The isolated strains of Staphylococcus aureus were mainly distributed in ICU ,Department of Neurosurgery ,Department of Orthopedic trauma ,and Department of Respiratory Medicine .The isolated Staphylococcus aureus had high drug resistant rates to penicillin and ampicillin .The drug resistant rates of most of the drugs were different between MSSA and MRSA .Conclusion Monitoring the drug resistance of Staphylococcus aureus is very important to rational choice of antimicrobial agents .
2.Research advances of encapsulation and co-delivery modes during islet transplantation
Zuhan CHEN ; Ruiyang MA ; Jingwen WANG ; Huanjing BI ; Xiaoming DING
Chinese Journal of Organ Transplantation 2023;44(8):502-507
This review summarized the latest advances in islet transplantation, islet encapsulation and co-delivery strategies of cell and growth factors.
3. Profile and inspirations of hospital value-based purchasing of MS-DRG in the United States
Zuhan ZHANG ; Junling CHEN ; Qian ZHANG ; Chenghong LI ; Juan XU ; Wei WANG ; Zhiguo ZHANG ; Li XIAO
Chinese Journal of Hospital Administration 2020;36(1):81-85
Pay-for-performance(P4P) is the third stage of payment evolution in the United States. As of 2010, the Centers for Medicare and Medicaid Services launched a series of P4P programs, including hospital value-based purchasing(HVBP) program. This paper introduced the background and eligibility of HVBP in the United States, focusing on the contents and calculation methods of HVBP as references for the reform of payment methods in China.
4.Study of adverse drug events related to tacrolimus in pediatric solid organ transplant recipients based on FAERS database
Boqing DONG ; Jingwen WANG ; Huanjing BI ; Zuhan CHEN ; Cuinan LU ; Wujun XUE ; Yang LI ; Xiaoming DING
Organ Transplantation 2024;15(4):581-590
Objective To investigate the characteristics of adverse drug event (ADE) related to tacrolimus (Tac) in pediatric solid organ transplant recipients. Methods The data were retrieved from the US Food and Drug Administration Adverse Event Reporting System database from the first quarter of 2004 to the second quarter of 2023. The ADE data of pediatric organ transplant recipients with Tac as the primary suspected drug were extracted. The relationship between Tac and ADE was quantitatively analyzed by proportional imbalance method. Basic characteristics and signal strength of ADE related to Tac were analyzed. ADE related to Tac in children of different ages and different types of organ transplantation were analyzed. Results A total of 1 443 children's ADE reports involving Tac were screened, including 188 cases (13.0%) of heart transplantation, 668 cases (46.3%) of liver transplantation, 531 cases (36.8%) of kidney transplantation and 56 cases (3.9%) of lung transplantation. The median age of children was 10 years old. The top three countries with ADE reporting were the United States, France and the United Kingdom. China reported 26 cases, accounting for 1.8%. Infection and infectious diseases accounted for the highest proportion (20.96%) in ADE related to Tac, including EB virus and cytomegalovirus infection, etc. Infection and infectious diseases occupied the largest proportion of ADE related to Tac in children of different ages, whereas the pathogen types were different. Rejection, unstable immunosuppression level and renal function damage were also common ADE related to Tac in children of all ages. Nervous system disease was the main ADE in heart transplant recipients, while infection and infectious diseases were more common in liver and kidney transplant recipients. Rejection was the most common ADE in lung transplant recipients. Conclusions ADE related to Tac possess different distribution characteristics in different types of organ transplantation. Extensive attention should be paid to individualized drug monitoring and risk assessment in pediatric organ transplant recipients, thereby optimizing Tac treatment and reducing the risk of ADE.