Clinical importance and cost of bacteremia caused by nosocomial multi drug resistant acinetobacter baumannii

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dc.contributor.authorGulen T.A.
dc.contributor.authorGuner R.
dc.contributor.authorCelikbilek N.
dc.contributor.authorKeske S.
dc.contributor.authorTasyaran M.
dc.date.accessioned2019-08-01T13:38:39Z
dc.date.available2019-08-01T13:38:39Z
dc.date.issued2015
dc.departmentNiğde ÖHÜ
dc.description.abstractBackground: A. baumannii is an important nosocomial pathogen associated with high mortality, morbidity and medical cost. Aim: The aim of this study was to investigate risk factors for MDR A. baumannii bacteremia and also evaluate cost of hospitalization of these patients. Methods: Study was conducted in Ankara Atatürk Training and Research Hospital. Patients who were hospitalized in ICU and diagnosed for nosocomial blood stream infection (BSI) between January 2007 and December 2010 were checked retrospectively. Patients with nosocomial BSI caused by multidrug resistant A. baumannii were compared with the patients who had BSI caused by other Gram-negative microorganisms in terms of risk factors, mortality and medical costs. Findings: In multivariate analysis previous use of carbapenem, quinolone and metronidazole, and SAPS II score were found as independent risk factors. In case group; immunosupression, SAPS II score, and hospital stay until infection were independently associated with mortality in multivariate analysis. Conclusion: Our results suggest that the occurrence of MDR A.baumannii bacteremia was related with the usage of the wide spectrum antibiotics, and mortality rates were increased in patients that high SAPS II scores, long term hospitalization. Infection control procedures and limited antibiotic usage are very important for prevent nosocomial infections. © 2015 The Authors.
dc.identifier.doi10.1016/j.ijid.2015.06.014
dc.identifier.endpage35
dc.identifier.issn1201-9712
dc.identifier.pmid26129972
dc.identifier.startpage32
dc.identifier.urihttps://dx.doi.org/10.1016/j.ijid.2015.06.014
dc.identifier.urihttps://hdl.handle.net/11480/1911
dc.identifier.volume38
dc.indekslendigikaynakPubMed
dc.institutionauthor[0-Belirlenecek]
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofInternational Journal of Infectious Diseases
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAcinetobacter baumannii
dc.subjectCost
dc.subjectMulti-drug resistance
dc.titleClinical importance and cost of bacteremia caused by nosocomial multi drug resistant acinetobacter baumannii
dc.typeArticle

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