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Risk factors for occurrence and 30-day mortality for carbapenem-resistant Acinetobacter baumannii bacteremia in an intensive care unit.

DC Field Value Language
dc.contributor.author김은영-
dc.contributor.author박무석-
dc.contributor.author박병훈-
dc.contributor.author박선철-
dc.contributor.author이상국-
dc.contributor.author강영애-
dc.contributor.author임주은-
dc.contributor.author김세규-
dc.contributor.author장준-
dc.contributor.author김송이-
dc.contributor.author정경수-
dc.contributor.author김영삼-
dc.contributor.author정지예-
dc.date.accessioned2014-12-19T17:10:11Z-
dc.date.available2014-12-19T17:10:11Z-
dc.date.issued2012-
dc.identifier.issn1011-8934-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/90903-
dc.description.abstractTo assess the risk factors for carbapenem-resistant Acinetobacter baumannii (CRAB) bacteremia and for 30-day mortality in patients with CRAB bacteremia in the intensive care unit (ICU), we conducted a retrospective study in the ICU at Severance Hospital in Korea from January 2008 to December 2009. Patients who acquired CRAB bacteremia in the ICU were enrolled as the case group and patients whose specimens of blood culture, sputum/endotracheal aspirate and urine revealed no AB were enrolled as controls. The case group comprised 106 patients and 205 patients were included as controls. Risk factors independently associated with CRAB bacteremia included prior chemotherapy or radiotherapy treatment (Odds ratio [OR], 3.6; P = 0.003), recent central venous catheter insertion (OR, 5.7; P < 0.001) or abdominal drainage insertion (OR, 21.9; P = 0.004), the number of antibiotics treated with (OR, 1.3; P = 0.016), and respiratory failure in the ICU (OR, 2.5; P = 0.035). The 30-day mortality was 79.8%. Renal failure during ICU stay was independently associated with 30-day mortality (OR, 3.7; P = 0.047). It is important to minimize invasive procedures, and to restrict excessive use of antibiotics, especially in immunocompromised patients, in order to prevent the development of CRAB bacteremia. Greater concern for CRAB bacteremia patients is needed when renal failure develops during ICU stay.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJOURNAL OF KOREAN MEDICAL SCIENCE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAcinetobacter Infections/drug therapy-
dc.subject.MESHAcinetobacter Infections/epidemiology-
dc.subject.MESHAcinetobacter Infections/mortality*-
dc.subject.MESHAcinetobacter baumannii/drug effects*-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAnti-Bacterial Agents/pharmacology*-
dc.subject.MESHAnti-Bacterial Agents/therapeutic use-
dc.subject.MESHBacteremia/drug therapy-
dc.subject.MESHBacteremia/epidemiology-
dc.subject.MESHBacteremia/mortality*-
dc.subject.MESHCarbapenems/pharmacology*-
dc.subject.MESHCarbapenems/therapeutic use-
dc.subject.MESHCase-Control Studies-
dc.subject.MESHDrug Resistance, Multiple, Bacterial-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHImmunocompromised Host-
dc.subject.MESHIntensive Care Units-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOdds Ratio-
dc.subject.MESHRenal Insufficiency/etiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHSurvival Rate-
dc.subject.MESHTime Factors-
dc.titleRisk factors for occurrence and 30-day mortality for carbapenem-resistant Acinetobacter baumannii bacteremia in an intensive care unit.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorSong Yee Kim-
dc.contributor.googleauthorJi Ye Jung-
dc.contributor.googleauthorYoung Ae Kang-
dc.contributor.googleauthorJoo Eun Lim-
dc.contributor.googleauthorEun Young Kim-
dc.contributor.googleauthorSang Kook Lee-
dc.contributor.googleauthorSeon Cheol Park-
dc.contributor.googleauthorKyung Soo Chung-
dc.contributor.googleauthorByung Hoon Park-
dc.contributor.googleauthorYoung Sam Kim-
dc.contributor.googleauthorSe Kyu Kim-
dc.contributor.googleauthorJoon Chang-
dc.contributor.googleauthorMoo Suk Park-
dc.identifier.doi22876063-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01457-
dc.contributor.localIdA01478-
dc.contributor.localIdA01505-
dc.contributor.localIdA02809-
dc.contributor.localIdA00057-
dc.contributor.localIdA03407-
dc.contributor.localIdA00602-
dc.contributor.localIdA03472-
dc.contributor.localIdA00626-
dc.contributor.localIdA03570-
dc.contributor.localIdA00707-
dc.contributor.localIdA03735-
dc.contributor.localIdA00811-
dc.relation.journalcodeJ01517-
dc.identifier.eissn1598-6357-
dc.identifier.pmid22876063-
dc.subject.keywordAcinetobacter baumannii-
dc.subject.keywordBacteremia-
dc.subject.keywordDrug Resistance, Multiple-
dc.subject.keywordIntensive Care Units-
dc.subject.keywordMortality-
dc.subject.keywordRisk Factors-
dc.contributor.alternativeNameKim, Eun Young-
dc.contributor.alternativeNamePark, Moo Suk-
dc.contributor.alternativeNamePark, Byung Hoon-
dc.contributor.alternativeNamePark, Seon Cheol-
dc.contributor.alternativeNameLee, Sang Kook-
dc.contributor.alternativeNameKang, Young Ae-
dc.contributor.alternativeNameLim, Ju Eun-
dc.contributor.alternativeNameKim, Se Kyu-
dc.contributor.alternativeNameChang, Joon-
dc.contributor.alternativeNameKim, Song Yi-
dc.contributor.alternativeNameJung, Kyung Soo-
dc.contributor.alternativeNameKim, Young Sam-
dc.contributor.alternativeNameJung, Ji Ye-
dc.contributor.affiliatedAuthorPark, Moo Suk-
dc.contributor.affiliatedAuthorPark, Byung Hoon-
dc.contributor.affiliatedAuthorPark, Seon Cheol-
dc.contributor.affiliatedAuthorLee, Sang Kook-
dc.contributor.affiliatedAuthorKang, Young Ae-
dc.contributor.affiliatedAuthorLim, Ju Eun-
dc.contributor.affiliatedAuthorKim, Se Kyu-
dc.contributor.affiliatedAuthorChang, Joon-
dc.contributor.affiliatedAuthorKim, Song Yi-
dc.contributor.affiliatedAuthorJung, Kyung Soo-
dc.contributor.affiliatedAuthorKim, Young Sam-
dc.contributor.affiliatedAuthorJung, Ji Ye-
dc.contributor.affiliatedAuthorKim, Eun Young-
dc.citation.volume27-
dc.citation.number8-
dc.citation.startPage939-
dc.citation.endPage947-
dc.identifier.bibliographicCitationJOURNAL OF KOREAN MEDICAL SCIENCE, Vol.27(8) : 939-947, 2012-
dc.identifier.rimsid33203-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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