[Risk factors for multidrug-resistant Pseudomonas aeruginosa infection, in a tertiary hospital in Colombia]

Autor: Ana Claudia, Ossa-Giraldo, Lina María, Echeverri-Toro, Zila Margarita, Santos, Mónica Giseth, García, Yuli, Agudelo, Faiver, Ramírez, Sigifredo, Ospina
Rok vydání: 2013
Předmět:
Zdroj: Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia. 31(4)
ISSN: 0716-1018
Popis: multi-resistant Pseudomonas aeruginosa (MR) is frequently associated with healthcare infections. Its epidemiology is complex and few studies help to understand it. A study about risk factors associated with this type of bacteria is needed.To determine risk factors associated with MR P. aeruginosa infection in hospitalized patients from the Hospital Universitario San Vicente Foundation-Medellin.case-control study to identify risk factors associated with infection by MR P. aeruginosa.140 patients were included, 70 in each group. Bivariate analysis found association with previous use of carbapenems (OR 3.12 - IC 1.21 to 8.03, p = 0.02), aminoglycosides (OR 5.09 - CI: 1.38 to 18, 77, p = 0.01) and days of stay prior to isolation of the organism (OR 1.03 - CI: 1.01-1.05, p = 0.01). In multivariate analysis MR P. aeruginosa infection was associated with hospital stay (OR 1.03 - IC 1.01 to 1.05), use of aminoglycosides (OR 1.30 to 19.28) and treatment with two or more antimicrobials in the last 30 days (OR 3.09 - CI: 1.26 to 7.58). The risk of developing infection was 3% per day of hospital stay prior to isolation of the agent.Developing MR P. aeruginosa infection was associated with prior use of antimicrobials and prior hospital stay.
Databáze: OpenAIRE