Risk factors for hospital-acquired pneumonia caused by imipenem-resistant Pseudomonas aeruginosa in an intensive care unit

被引:23
|
作者
Furtado, G. H. [1 ]
Gales, A. C. [1 ]
Perdiz, L. B. [1 ]
Santos, A. F. [1 ]
Wey, S. B. [1 ]
Medeiros, E. A. [1 ]
机构
[1] Univ Fed Sao Paulo, Div Infect Dis, Alerta Lab, Sao Paulo, Brazil
关键词
hospital-acquired pneumonia; risk factors; Pseudomonas aeruginosa; intensive care; CARBAPENEM RESISTANCE; INFECTION; SURVEILLANCE; ACQUISITION; EXPOSURE; THERAPY; STRAINS;
D O I
10.1177/0310057X1003800605
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Imipenem-resistant Pseudomonas aeruginosa is a leading cause of hospital-acquired pneumonia Aiming to determine the risk factors associated for hospital-acquired pneumonia due to imipenem-resistant Pseudomonas aeruginosa, we undertook a retrospective case-case-control study Patients admitted to a 14-bed medical-surgical intensive care unit from a university-affiliated hospital with hospital-acquired pneumonia caused by imipenem-resistant Pseudomonas aeruginosa strains and by imipenem-susceptible Pseudomonas aeruginosa strains were matched to control patients by time under risk and comorbidities A total of 58 resistant cases, 47 susceptible cases and 237 controls were evaluated The risk factors independently associated to hospital-acquired pneumonia caused by imipenem-resistant Pseudomonas aeruginosa were duration of hospitalisation, Acute Physiological and Chronic Health Evaluation II score, male gender, receipt of haemodialysis, receipt of piperacillin-tazobactam and receipt of third-generation cephalosporins
引用
收藏
页码:994 / 1001
页数:8
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