Risk Factors Associated with Acinetobacter baumannii Infections in Patients in an Intensive Care Unit of a Public Hospital in Paraná

作     者：Mirian Carla Bortolamedi da Silva Maria Helena Brandeleiro Werlang Valdir Spada Júnior Guilherme Welter Wendt Ana Paula Vieira Franciele Ani Caovilla Follador Léia Carolina Lucio Cleide Viviane Busanello Martins Kérley Braga Pereira Bento Casaril Paulo Cezar Nunes Fortes Lirane Elize Defante Ferreto Mirian Carla Bortolamedi da Silva;Maria Helena Brandeleiro Werlang;Valdir Spada Júnior;Guilherme Welter Wendt;Ana Paula Vieira;Franciele Ani Caovilla Follador;Léia Carolina Lucio;Cleide Viviane Busanello Martins;Kérley Braga Pereira Bento Casaril;Paulo Cezar Nunes Fortes;Lirane Elize Defante Ferreto

作者机构：Post-Graduante Program Health Sciences University of Wester Paraná (UNIOESTE) Francisco Beltrã o Brazil State of the Health of Paraná (SESA-PR) Francisco Beltrã o Brazil 

出 版 物：《Advances in Infectious Diseases》 (传染病进展（英文）)

年 卷 期：2022年第12卷第1期

页      面：90-105页

学科分类：0401[教育学-教育学] 04[教育学] 

主　　题：Acinetobacter baumannii Risk-Factors Infection Intensive Care 

摘      要：To identify risk factors for A. baumannii infection in patients hospitalized in an Intensive Care Unit (ICU) of a tertiary public hospital in Paraná, Brazil, a retrospective paired case-control study (ratio 1:2) was conducted from January 2018 to December 2020. Patients in the case group were hospitalized in the ICU with A. baumanni (n = 68 cases) and were compared with patients in the control group, without infection by A. baumannii (n = 136). Both were matched by age (±10 years), sex, and ICU stay (±5 days). Conditional multiple logistic regression was used to determine statistically significant risk factors based on the results of bivariate analyses. Mortality was higher in infected (cases) than in non-infected patients (51.5% vs. 39.7%). The incidence and bacterial resistance increased annually. At bivariate analysis, cases had longer hospital stays (median 35 vs. 22 days, p A. baumannii and antimicrobial resistance. There is need for surveillance, and constant evaluation of control actions. Risk factors were colonization, previous hospitalization, and hospitalization time. This is essential for the decision-making of professionals and optimization of prevention, control, and therapeutic management actions.