Risk factors for hospital-acquired pneumonia caused by imipenem-resistant Pseudomonas aeruginosa in an intensive care unit

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2010-11-01
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Imipenem-resistant Pseudomonas aeruginosa is a leading cause of hospital-acquired pneumonia Aiming to determine the risk factors associated for hospital-acquired pneumonia due to imipenem-resistant Pseudomonas aeruginosa, we undertook a retrospective case-case-control study Patients admitted to a 14-bed medical-surgical intensive care unit from a university-affiliated hospital with hospital-acquired pneumonia caused by imipenem-resistant Pseudomonas aeruginosa strains and by imipenem-susceptible Pseudomonas aeruginosa strains were matched to control patients by time under risk and comorbidities A total of 58 resistant cases, 47 susceptible cases and 237 controls were evaluated The risk factors independently associated to hospital-acquired pneumonia caused by imipenem-resistant Pseudomonas aeruginosa were duration of hospitalisation, Acute Physiological and Chronic Health Evaluation II score, male gender, receipt of haemodialysis, receipt of piperacillin-tazobactam and receipt of third-generation cephalosporins
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Anaesthesia And Intensive Care. Edgecliff: Australian Soc Anaesthetists, v. 38, n. 6, p. 994-1001, 2010.
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