Trauma is associated with a better prognosis in intensive care patients with Acinetobacter infections

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorTONACIO, A. C.
dc.contributor.authorOLIVEIRA, M. S.
dc.contributor.authorMALBOUISSON, L. M. S.
dc.contributor.authorLEVIN, A. S.
dc.date.accessioned2014-04-28T22:01:43Z
dc.date.available2014-04-28T22:01:43Z
dc.date.issued2014
dc.description.abstractAcinetobacter baumannii has emerged as a common cause of infection in war-related trauma, civilian trauma and other surgical emergencies. The aim of this study was to determine prognostic factors especially trauma, in critically ill surgical patients with Acinetobacter spp. infection in a reference emergency ICU. A retrospective review of medical records was conducted for all patients admitted to the ICU who developed Acinetobacter spp. infection from January 2007 to December 2009. Bivariate and multivariate analyses were made for 36 patients. The end-point analyzed was the in-hospital mortality. The initial analysis revealed a majority of young (43.6 years +/- A 17.1) men (92 %), trauma victims (78 %) and an in-hospital mortality of 30 %. Patients who had not suffered trauma presented with other surgical conditions and were on average older than trauma patients (57 +/- A 12 versus 40 +/- A 16 years). The overall APACHE II score average was 15.3. The ventilator-associated pneumonia was the main Acinetobacter infection diagnosed. In bivariate analysis lower Glasgow coma scale (p = 0.01) was associated with increased chance of death and being victim of trauma was a protecting factor (OR: 0.16; 95 % CI: 0.03-0.89). Receiving adequate treatment made no difference to outcome (OR: 0.55; 95 % CI: 0.05-3.15). Multivariate analysis showed that only the presence of trauma was independently associated with prognosis and was a protecting factor. Trauma was a marker of good prognosis in emergency ICU patients with Acinetobacter spp. infection.
dc.description.indexMEDLINE
dc.identifier.citationINFECTION, v.42, n.1, p.89-95, 2014
dc.identifier.doi10.1007/s15010-013-0523-y
dc.identifier.eissn1439-0973
dc.identifier.issn0300-8126
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/5392
dc.language.isoeng
dc.publisherSPRINGER HEIDELBERG
dc.relation.ispartofInfection
dc.rightsrestrictedAccess
dc.rights.holderCopyright SPRINGER HEIDELBERG
dc.subjectAcinetobacter
dc.subjectTrauma
dc.subjectICU
dc.subject.othercritically-ill patients
dc.subject.othermatched cohort
dc.subject.otherbaumannii infections
dc.subject.otheracquisition
dc.subject.othermortality
dc.subject.wosInfectious Diseases
dc.titleTrauma is associated with a better prognosis in intensive care patients with Acinetobacter infections
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalOLIVEIRA, M. S.:Univ Sao Paulo, Hosp Clin, Infect Control Dept, BR-05460010 Sao Paulo, Brazil
hcfmusp.citation.scopus4
hcfmusp.contributor.author-fmusphcADRIANA CORACINI TONACIO DE PROENCA
hcfmusp.contributor.author-fmusphcLUIZ MARCELO SA MALBOUISSON
hcfmusp.contributor.author-fmusphcANNA SARA SHAFFERMAN LEVIN
hcfmusp.description.beginpage89
hcfmusp.description.endpage95
hcfmusp.description.issue1
hcfmusp.description.volume42
hcfmusp.origemWOS
hcfmusp.origem.pubmed24170478
hcfmusp.origem.scopus2-s2.0-84898540458
hcfmusp.origem.wosWOS:000330971200011
hcfmusp.publisher.cityHEIDELBERG
hcfmusp.publisher.countryGERMANY
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