Risk factors for Acinetobacter baumannii nosocomial bacteremia in critically ill patients: a cohort study.

Authors

García-Garmendia JL, Ortiz-Leyba C, Garnacho-Montero J, et al. 

Institution

Intensive Care Unit, University Hospital Virgen del Rocío, Seville, Spain. joluis@cica.es

Source

Clin Infect Dis 2001 Oct 1; 33(7) :939-46.

Abstract

Nosocomial bacteremia caused by Acinetobacter baumannii (AB) is of increasing concern in critically ill patients, and the risk factors for this infection are not well established. An inception cohort study in a 40-bed medical and surgical intensive care unit (ICU) at a single institution was conducted during a 2-year period to determine the risk factors for AB nosocomial bacteremia. Risk factors related to the underlying diseases, the clinical picture at admission, and those acquired during the stay in the ICU were recorded upon admission and daily throughout the ICU stay. We defined an "invasive procedures index" as the number of invasive procedures performed every day during the ICU stay before the onset of AB bacteremia divided by the number of days in the ICU before the onset of AB bacteremia. Risk factors that were independently associated with AB bacteremia were immunosuppression, unscheduled admission to the hospital, respiratory failure at ICU admission, previous antimicrobial therapy, previous sepsis in the ICU, and the invasive procedures index.

Mesh

Acinetobacter
Acinetobacter Infections
Adult
Aged
Bacteremia
Cohort Studies
Critical Illness
Cross Infection
Female
Humans
Intensive Care Units
Male
Middle Aged
Prospective Studies
Risk Factors

Language

eng

Pub Type(s)

Journal Article

PubMed ID

11528563