| Literature DB >> 26883694 |
Ruthy Tal-Jasper1, David E Katz2, Nadav Amrami3, Dor Ravid3, Dori Avivi3, Ronit Zaidenstein4, Tsilia Lazarovitch5, Mor Dadon3, Keith S Kaye6, Dror Marchaim7.
Abstract
Carbapenems are considered the treatment of choice for Acinetobacter baumannii infections. Many facilities implement preventive measures toward only carbapenem-resistant A. baumannii (CRAB). However, the independent role of the carbapenem resistance determinant on patient outcomes remains controversial. In a 6-year analysis of adults with A. baumannii bloodstream infection (BSI), the outcomes of 149 CRAB isolates were compared to those of 91 patients with carbapenem-susceptible A. baumannii In bivariable analyses, CRAB BSIs were significantly associated with worse outcomes and with a delay in the initiation of appropriate antimicrobial therapy (DAAT). However, in multivariable analyses, carbapenem resistance status was no longer associated with poor outcomes, while DAAT remained an independent predictor. The epidemiological significance of A. baumannii should not be determined by its resistance to carbapenems.Entities:
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Year: 2016 PMID: 26883694 PMCID: PMC4862462 DOI: 10.1128/AAC.02656-15
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.191