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Article: Morbidity and mortality risk factors in emergency department patients with Acinetobacter baumannii bacteremia

TitleMorbidity and mortality risk factors in emergency department patients with Acinetobacter baumannii bacteremia
Authors
KeywordsAcinetobacter baumannii
Bacteremia
Morbidity
Mortality
Issue Date2020
PublisherZhejiang University School of Medicine, Second Affiliated Hospital. The Journal's web site is located at http://www.wjem.org/
Citation
World Journal of Emergency Medicine, 2020, v. 11 n. 3, p. 164-168 How to Cite?
AbstractBACKGROUND: Acinetobacter baumannii (AB) bacteremia is an increasingly common and often fatal nosocomial infection. Identification of morbidity and mortality risk factors for AB bacteremia in emergency department (ED) patients may provide ways to improve the clinical outcomes of these patients. METHODS: The records for 51 patients with AB bacteremia and 51 patients without AB infection were collected and matched in a retrospective case-control study between 2013 and 2015 in a single-center ED. Risk factors were analyzed by Chi-square and multivariate logistic regression statistical models. RESULTS: A significant risk factor for morbidity was the presence of a central venous catheter (CVC) (P<0.001). The mortality rate for the 51 patients with AB bacteremia was 68.6%. Risk factors for mortality were the presence of a CVC (P=0.021) and an ED stay longer than two weeks (P=0.015). CONCLUSION: AB infections lead to high morbidity and mortality. The presence of a CVC was associated with higher morbidity and mortality in patients with AB bacteremia. Avoiding CVC insertions may improve outcomes in ED patients with AB bacteremia.
Persistent Identifierhttp://hdl.handle.net/10722/285413
ISSN
2023 Impact Factor: 2.6
2023 SCImago Journal Rankings: 0.421
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorSun, RX-
dc.contributor.authorSong, P-
dc.contributor.authorWalline, J-
dc.contributor.authorWang, H-
dc.contributor.authorXu, YC-
dc.contributor.authorZhu, HD-
dc.contributor.authorYu, XZ-
dc.contributor.authorXu, J-
dc.date.accessioned2020-08-18T03:53:12Z-
dc.date.available2020-08-18T03:53:12Z-
dc.date.issued2020-
dc.identifier.citationWorld Journal of Emergency Medicine, 2020, v. 11 n. 3, p. 164-168-
dc.identifier.issn1920-8642-
dc.identifier.urihttp://hdl.handle.net/10722/285413-
dc.description.abstractBACKGROUND: Acinetobacter baumannii (AB) bacteremia is an increasingly common and often fatal nosocomial infection. Identification of morbidity and mortality risk factors for AB bacteremia in emergency department (ED) patients may provide ways to improve the clinical outcomes of these patients. METHODS: The records for 51 patients with AB bacteremia and 51 patients without AB infection were collected and matched in a retrospective case-control study between 2013 and 2015 in a single-center ED. Risk factors were analyzed by Chi-square and multivariate logistic regression statistical models. RESULTS: A significant risk factor for morbidity was the presence of a central venous catheter (CVC) (P<0.001). The mortality rate for the 51 patients with AB bacteremia was 68.6%. Risk factors for mortality were the presence of a CVC (P=0.021) and an ED stay longer than two weeks (P=0.015). CONCLUSION: AB infections lead to high morbidity and mortality. The presence of a CVC was associated with higher morbidity and mortality in patients with AB bacteremia. Avoiding CVC insertions may improve outcomes in ED patients with AB bacteremia.-
dc.languageeng-
dc.publisherZhejiang University School of Medicine, Second Affiliated Hospital. The Journal's web site is located at http://www.wjem.org/-
dc.relation.ispartofWorld Journal of Emergency Medicine-
dc.subjectAcinetobacter baumannii-
dc.subjectBacteremia-
dc.subjectMorbidity-
dc.subjectMortality-
dc.titleMorbidity and mortality risk factors in emergency department patients with Acinetobacter baumannii bacteremia-
dc.typeArticle-
dc.identifier.emailSong, P: songp@hku.hk-
dc.identifier.authoritySong, P=rp02412-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.5847/wjem.j.1920-8642.2020.03.006-
dc.identifier.hkuros312925-
dc.identifier.volume11-
dc.identifier.issue3-
dc.identifier.spage164-
dc.identifier.epage168-
dc.identifier.isiWOS:000526956500006-
dc.publisher.placeChina-
dc.identifier.issnl1920-8642-

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