Risk factors for infection by Acinetobacter baumannii in intubated patients with nosocomial pneumonia

被引:93
作者
Baraibar, J
Correa, H
Mariscal, D
Gallego, M
Valles, J
Rello, J
机构
[1] HOSP SABADELL,DEPT INTENS CARE,E-08208 SABADELL,BARCELONA,SPAIN
[2] HOSP ITALIANO,DEPT PULM & CRIT CARE,MONTEVIDEO,URUGUAY
[3] HOSP ITALIANO,DEPT MICROBIOL,MONTEVIDEO,URUGUAY
[4] HOSP CLIN MONTEVIDEO,MONTEVIDEO,URUGUAY
关键词
Acinetobacter baumannii; risk factors; ventilator-associated pneumonia;
D O I
10.1378/chest.112.4.1050
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Study objective: To investigate the epidemiology of infection by Acinetobacter baumannii patients with ventilator-associated pneumonia (VAP). Design: Prospective clinical study, Setting: Three medical-surgical ICUs in teaching hospitals. Patients: We followed up 707 mechanically-ventilated patients and 148 episodes of VAP with etiologic diagnosis. Results: A baumannii was isolated in 12 (8.1%) episodes in 148 patients. Five of these episodes mere directly responsible for death, Using logistic regression analysis, the risk of VAP due to A baumannii was found to be high in patients with neurosurgery (odds ratio [OR]=10.03; 95% confidence interval [CI]=1.55 to 64.90), ARDS (OR=9.73; 95% CI=1.60 to 59.24), head trauma (OR=5.17; 95% CI=0.88 to 30.34), and large-volume pulmonary aspiration (OR=2.90; 95% CI=0.80 to 10.53). Conclusions: Intubated patients Rho develop pneumonia and have any of the above factors are at an increased risk of Acinetobacter infection.
引用
收藏
页码:1050 / 1054
页数:5
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