dc.creator | Tsakiridou, E. | en |
dc.creator | Makris, D. | en |
dc.creator | Daniil, Z. | en |
dc.creator | Manoulakas, E. | en |
dc.creator | Chatzipantazi, V. | en |
dc.creator | Vlachos, O. | en |
dc.creator | Xidopoulos, G. | en |
dc.creator | Charalampidou, O. | en |
dc.creator | Zakynthinos, E. | en |
dc.date.accessioned | 2015-11-23T10:50:34Z | |
dc.date.available | 2015-11-23T10:50:34Z | |
dc.date.issued | 2014 | |
dc.identifier | 10.1155/2014/193516 | |
dc.identifier.issn | 2314-6133 | |
dc.identifier.uri | http://hdl.handle.net/11615/33753 | |
dc.description.abstract | Objective. We aimed to evaluate risk factors for ventilator-associated pneumonia (VAP) due to Acinetobacter baumannii (AbVAP) in critically ill patients. Methods. This was a prospective observational study conducted in an intensive care unit (ICU) of a district hospital (6 beds). Consecutive patients were eligible for enrolment if they required mechanical ventilation for > 48 hours and hospitalization for > 72 hours. Clinical, microbiological, and laboratory parameters were assessed as risk factors for AbVAP by univariate and multivariate analysis. Results. 193 patients were included in the study. Overall, VAP incidence was 23.8% and AbVAP, 11.4%. Previous hospitalization of another patient with Acinetobacter baumannii infection was the only independent risk factor for AbVAP (OR (95% CI) 12.016 (2.282-19.521) P < 0.001). ICU stay (25 +/- 17 versus 12 +/- 9 P < 0.001), the incidence of other infections (OR (95% CI) 9.485 (1.640-10.466) P = 0.002) (urinary tract infection, catheter related infection, and bacteremia), or sepsis (OR (95% CI) 10.400 (3.749-10.466) P < 0.001) were significantly increased in patients with AbVAP compared to patients without VAP; no difference was found with respect to ICU mortality. Conclusion. ICU admission or the hospitalization of patients infected by Acinetobacter baumannii increases the risk of AbVAP by subsequent patients. | en |
dc.source | Biomed Research International | en |
dc.source.uri | <Go to ISI>://WOS:000338855700001 | |
dc.subject | GRAM-NEGATIVE BACTERIA | en |
dc.subject | INTUBATED PATIENTS | en |
dc.subject | MICROORGANISMS | en |
dc.subject | RESISTANCE | en |
dc.subject | CARRIAGE | en |
dc.subject | UNIT | en |
dc.subject | Biotechnology & Applied Microbiology | en |
dc.subject | Medicine, Research & Experimental | en |
dc.title | Acinetobacter baumannii Infection in Prior ICU Bed Occupants Is an Independent Risk Factor for Subsequent Cases of Ventilator-Associated Pneumonia | en |
dc.type | journalArticle | en |