Morbidity and mortality risk factors in emergency department patients with Acinetobacter baumannii bacteremia

Rui Xue Sun, Priscilla Song, Joseph Walline, He Wang, Ying Chun Xu, Hua Dong Zhu, Xue Zhong Yu, Jun Xu

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: Acinetobacter baumannii (AB) bacteremia is an increasingly common and often fatal nosocomial infection. Identification of morbidity and mortality risk factors for AB bacteremia in emergency department (ED) patients may provide ways to improve the clinical outcomes of these patients. Methods: The records for 51 patients with AB bacteremia and 51 patients without AB infection were collected and matched in a retrospective case-control study between 2013 and 2015 in a singlecenter ED. Risk factors were analyzed by Chi-square and multivariate logistic regression statistical models. Results: A significant risk factor for morbidity was the presence of a central venous catheter (CVC) (P<0.001). The mortality rate for the 51 patients with AB bacteremia was 68.6%. Risk factors for mortality were the presence of a CVC (P=0.021) and an ED stay longer than two weeks (P=0.015). Conclusion: AB infections lead to high morbidity and mortality. The presence of a CVC was associated with higher morbidity and mortality in patients with AB bacteremia. Avoiding CVC insertions may improve outcomes in ED patients with AB bacteremia.

Original languageEnglish (US)
Pages (from-to)164-168
Number of pages5
JournalWorld Journal of Emergency Medicine
Volume11
Issue number3
DOIs
StatePublished - 2020

All Science Journal Classification (ASJC) codes

  • Emergency Medicine

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