Risk factors, clinical features and outcome of Acinetobacter bacteremia in adults

The medical records of 39 patients with Acinetobacter bacteremia identified in the period between 1985 and 1995 were reviewed. In 24 cases (62%) the bacteremia was considered to have been clinically significant. Most of the infections (79%) were nosocomial, and the majority of these were acquired in...

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Bibliographic Details
Published in:European journal of clinical microbiology & infectious diseases 1997-10, Vol.16 (10), p.737-740
Main Authors: POUTANEN, S. M, LOUIE, M, SIMOR, A. E
Format: Article
Language:English
Subjects:
Acinetobacter - drug effects
Acinetobacter Infections - diagnosis
Acinetobacter Infections - epidemiology
Acinetobacter Infections - mortality
Adult
Age Factors
Aged
Anti-Bacterial Agents - pharmacology
Bacteremia - complications
Bacteremia - diagnosis
Bacteremia - epidemiology
Bacterial diseases
Bacterial sepsis
Biological and medical sciences
Blood Coagulation Disorders - complications
Cross Infection - microbiology
Female
Human bacterial diseases
Humans
Infectious diseases
Intensive Care Units
Male
Medical sciences
Microbial Sensitivity Tests
Middle Aged
Retrospective Studies
Risk Factors
Shock, Septic - diagnosis
Shock, Septic - epidemiology
Shock, Septic - mortality
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Summary:The medical records of 39 patients with Acinetobacter bacteremia identified in the period between 1985 and 1995 were reviewed. In 24 cases (62%) the bacteremia was considered to have been clinically significant. Most of the infections (79%) were nosocomial, and the majority of these were acquired in an intensive care unit. Ten (42%) patients developed septic shock complicating the bacteremia and 13 (54%) died. In most of these cases (85%), Acinetobacter bacteremia was thought to have caused or contributed to death. The following variables were associated with a greater risk of mortality: age > 65 years (OR = 16; p = 0.01); development of septic shock (OR = 22; p = 0.004); and the presence of coagulopathy (OR = 20; p = 0.03).
ISSN:0934-9723
1435-4373
DOI:10.1007/BF01709254