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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Acinetobacter baumannii ventilator-associated pneumonia: Epidemiology, clinical characteristics, and prognosis factors
International Journal of Infectious Diseases, Volume 17, No. 12, Year 2013
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Description
Objective: The aim of this study was to describe the epidemiological characteristics of Acinetobacter baumannii ventilator-associated pneumonia (VAP) and to identify factors predictive of a poor outcome. Methods: A retrospective study was conducted over 16 months in a Tunisian intensive care unit (ICU). All adult patients with A. baumannii VAP were included. Results: Ninety-two patients were included in they study; 41 (44.6%) were admitted because of multiple trauma. The mean age of the patients was 44.5. ±. 19.5 years. All patients needed mechanical ventilation on admission. The mean SAPS II score was 39. ±. 15. The mean delay before VAP onset was 8.1. ±. 4.7 days. On VAP onset, 57 patients (62%) developed septic shock. Only 14.2% of isolated strains were susceptible to imipenem; none were resistant to colistin. The mean duration of mechanical ventilation was 20. ±. 11 days. The mean duration of ICU stay was 24.3. ±. 18.7 days. ICU mortality was 60.9%. In the multivariate analysis, factors predictive of a poor outcome were previously known hypertension (odds ratio 5.8, 95% confidence interval 1.4-24.9; p= 0.018) and VAP-related septic shock (odds ratio 8.5, 95% confidence interval 3-23.7; p<. 0.001). Conclusion: A. baumannii VAP is associated with a high mortality. Hemodynamic impairment is predictive of a poor outcome. © 2013 International Society for Infectious Diseases.
Authors & Co-Authors
Chaari, Anis N.
Tunisia, Sfax
Chu Habib Bourguiba
Mnif, Basma
Tunisia, Sfax
University of Sfax
Bahloul, Mabrouk
Tunisia, Sfax
Chu Habib Bourguiba
Mahjoubi, Faouzia
Tunisia, Sfax
University of Sfax
Chtara, Kamilia
Tunisia, Sfax
Chu Habib Bourguiba
Turki, Olfa
Tunisia, Sfax
Chu Habib Bourguiba
Gharbi, Nourhene
Tunisia, Sfax
Chu Habib Bourguiba
Chelly, Hédi E.
Tunisia, Sfax
Chu Habib Bourguiba
Hammami, Adenène
Tunisia, Sfax
University of Sfax
Bouaziz, Mounir
Tunisia, Sfax
Chu Habib Bourguiba
Statistics
Citations: 66
Authors: 10
Affiliations: 2
Identifiers
Doi:
10.1016/j.ijid.2013.07.014
ISSN:
12019712
e-ISSN:
18783511
Research Areas
Noncommunicable Diseases
Study Design
Cohort Study
Case-Control Study