Clinical and Mortality Risk Factors in Bloodstream Infections with Carbapenem-Resistant Enterobacteriaceae.

Can J Infect Dis Med Microbiol

Department of Infectious Diseases, Fuxing Hospital, Capital Medical University, Beijing, China.

Published: December 2017

Objective: To investigate the risk factors underlying the occurrence and mortality of bloodstream infections (BSIs) with carbapenem-resistant Enterobacteriaceae (CRE).

Methods: Medical information was retrospectively analyzed from 148 cases of patients with Enterobacteriaceae BSIs at a medical center in China, between 2013 and 2015.

Results: The 30-day mortality rate in the CRE group was 65.4%. Indwelling urethral catheterization, admission to the ICU, use of antibiotics within 30 days, and BSIs from the respiratory system were associated with CRE BSIs. Lung infection, abdominal infection, central venous catheterization, and use of hormones within 30 days were associated with mortality.

Conclusion: The 30-day mortality rate of CRE BSIs was high. Lung infections, abdominal infections, central venous catheterization, and use of hormones within 30 days increased the mortality rate of Enterobacteriaceae BSIs.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742906PMC
http://dx.doi.org/10.1155/2017/6212910DOI Listing

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