Acquisition of imipenem-resistant Acinetobacter baumannii in a pediatric intensive care unit: a case-control study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2006-06-21

AUTHORS

Aspasia Katragkou, Maria Kotsiou, Charalampos Antachopoulos, Alexis Benos, Danai Sofianou, Maria Tamiolaki, Emmanuel Roilides

ABSTRACT

ObjectiveTo investigate the risk factors associated with nosocomial acquisition of imipenem-resistant Acinetobacter baumannii (IRAB) among pediatric intensive care patients.Abstract Design and settingA retrospective case control study was conducted in a pediatric intensive care unit (PICU).Patients and participantsCases were children in whom IRAB was isolated from any clinical specimen obtained at least 48 h following admission to PICU. Controls were children without IRAB matched to cases in 2:1 ratio. Twenty-six cases were matched with 52 controls according to the chronological order of admission.Measurements and resultsBetween July 2001 and December 2003, 52 (62%) of 84 clinical A. baumannii isolates were found nonsusceptible to imipenem (MIC ≥ 8 μg/ml). Demographic variables, comorbid conditions, clinical picture at admission, invasive procedures, use of antimicrobials and other drugs were analyzed as potential risk factors. Use of carbapenems and other β-lactams, aminoglycosides, ranitidine, mechanical ventilation, central venous or urinary catheters and length of stay in PICU were among the factors significantly associated with IRAB acquisition in the univariate analysis. By multivariate analysis, however, only aminoglycoside use and length of stay in the PICU were independent risk factors.ConclusionsAcquisition of IRAB by PICU patients was independently associated with aminoglycoside use and prolonged stay in the unit. Studies of evaluation of infection control policies need to be pursued. More... »

PAGES

1384

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00134-006-0239-x

DOI

http://dx.doi.org/10.1007/s00134-006-0239-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1050498096

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/16788807


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