Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/9976
Title: Risk factors for bloodstream infections due to acinetobacter spp.: A prospective case-control study
Other Titles: Acinetobacter türlerine bağlı kan dolaşımı infeksiyonlarında risk faktörleri: İleriye dönük bir olgu-kontrol çalışması
Authors: Uçar, Mehmet
Kutlu, Murat
Kaleli, İlknur
Keywords: Acinetobacter
Bacteremia
Parenteral nutrition
Teicoplanin
antifungal agent
beta lactam antibiotic
beta lactamase inhibitor
carbapenem derivative
teicoplanin
antibiotic therapy
Article
bloodstream infection
case control study
clinical article
controlled study
demography
disease association
high risk patient
hospital patient
hospitalization
human
invasive procedure
multivariate analysis
nonhuman
parenteral nutrition
prospective study
risk factor
treatment duration
Turkey (republic)
univariate analysis
Publisher: AVES Ibrahim Kara
Abstract: Objective: The aim of this prospective case control study was to describe the risk factors for bacteremia due to Acinetobacter species among hospitalized patients. Methods: The study was conducted prospectively from July 2012 to January 2014, and one case group and two control groups were created. Case group comprising patients with Acinetobacter bacteremia and control group 1 comprising patients with bacteremia due to other agents and control group 2 comprising non-bacteremic patients were compared in terms of demographic characteristics, underlying diseases, invasive procedures, and antibiotic use. Results: The study group (n=23) and control groups (n=46) were compared with univariate analysis and significant risk factors for Acinetobacter bacteremia were as follows: total parenteral nutrition, chemotherapy, use of broad spectrum antibiotics including ß-lactam and ß-lactamase inhibitors, carbapenems, teicoplanin, and antifungals (p<0.05). The duration of hospitalization was longer in case group (p=0.005). In multivariate analysis, factors independently associated with an increased risk of Acinetobacter spp. bacteremia included total parenteral nutrition (odds ratio, OR 5.13; confidence interval 95%, CI 95%, 1.41-18.57; p=0.013), use of a ß-lactam/ß-lactamase inhibitor (OR 7.67; CI 95% 1.67- 35.25; p=0.009), and use of teicoplanin (OR 4.11; CI 95% 1.09- 15.46; p=0.036). Conclusions: The definition of risk factors for Acinetobacter spp. bacteremia may help with the management of patients and infection control precautions by early prediction of the infection. © 2015, AVES Ibrahim Kara. All rights reserved.
URI: https://hdl.handle.net/11499/9976
https://doi.org/10.5152/kd.2015.21
ISSN: 1301-143X
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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