Intra-abdominal infection and sepsis in immunocompromised intensive care unit patients: Disease expression, microbial aetiology, and clinical outcomes

被引:4
|
作者
Paiva, Jose-Artur [1 ,2 ]
Rello, Jordi [3 ,4 ]
Eckmann, Christian [5 ]
Antonelli, Massimo [6 ,7 ]
Arvaniti, Kostoula [8 ]
Koulenti, Despoina [9 ,10 ]
Papathanakos, Georgios [11 ]
Dimopoulos, George [12 ]
Deschepper, Mieke [13 ]
Blot, Stijn [14 ]
机构
[1] Univ Porto, Ctr Hosp Univ S Joao, Fac Med, Intens Care Dept, Porto, Portugal
[2] Grp Infecao Sepsis, Lisbon, Portugal
[3] Univ Montpellier, Nimes Univ Hosp, Nimes, France
[4] Ciberes & Vall dHebron Inst Res, Barcelona, Spain
[5] Goettingen Univ, Dept Gen Visceral & Thorac Surg, Klinikum Hannoversch Muenden, Gottingen, Germany
[6] Fdn Policlin Univ A Gemelli IRCCS, Dept Anesthesiol Intens Care & Emergency Med, Rome, Italy
[7] Univ Cattolica Sacro Cuore, Rome, Italy
[8] Papageorgiou Univ, Affiliated Hosp, Intens Care Unit, Thessaloniki, Greece
[9] Univ Queensland, Fac Med, UQ Ctr Clin Res, Brisbane, Australia
[10] Kings Coll Hosp NHS Fdn Trust, Dept Crit Care, London, England
[11] Univ Hosp Ioannina, Dept Intens Care Med, Ioannina, Greece
[12] Natl & Kapodistrian Univ Athens, EVGENIDIO Hosp, Dept Crit Care 3, Athens, Greece
[13] Ghent Univ Hosp, Data Sci Inst, Ghent, Belgium
[14] Univ Ghent, Dept Internal Med & Pediat, Campus UZ Gent,Corneel Heymanslaan10, B-9000 Ghent, Belgium
关键词
Intra-abdominal infection; Immunocompromised; Intensive care unit; Mortality; Peritonitis; Sepsis; CRITICALLY-ILL PATIENTS; SEPTIC SHOCK; TRANSPLANT RECIPIENTS; BACTEREMIA; MORTALITY; MALIGNANCIES; DEFINITIONS; MANAGEMENT; SURVIVAL;
D O I
10.1016/j.ejim.2024.07.019
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We compared epidemiology of intra-abdominal infection (IAI) between immunocompromised and nonimmunocompromised ICU patients and identified risk factors for mortality. We performed a secondary analysis on the " AbSeS " database, a prospective, observational study with IAI patients from 309 ICUs in 42 countries. Immunocompromised status was defined as either neutropenia or prolonged corticosteroids use, chemotherapy or radiotherapy in the past year, bone marrow or solid organ transplantation, congenital immunodeficiency, or immunosuppressive drugs use. Mortality was defined as ICU mortality at any time or 28-day mortality for those discharged earlier. Associations with mortality were assessed by logistic regression.
引用
收藏
页码:100 / 110
页数:11
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