Influencing factors of blood infection and death risk of Acinetobacter baumannii in elderly patients
10.3969/j.issn.1006-2483.2023.04.029
- VernacularTitle:高龄患者鲍曼不动杆菌广泛性耐药血行感染及死亡风险因素
- Author:
Shihe MA
1
,
2
;
Wenyan LIU
1
,
2
;
Chengyong WU
1
,
2
Author Information
1. Infection Department of Chongqing Kaizhou District People'
2. s Hospital (Institute of Clinical Prevention and Treatment of Natural Epidemic Source Diseases in the Three Gorges Reservoir Area) Chongqing 405400 , China
- Publication Type:Journal Article
- Keywords:
Advanced age;
Blood infection;
Drug-resistant acinetobacter baumannii;
Risk of death
- From:
Journal of Public Health and Preventive Medicine
2023;34(4):124-127
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the death prognosis and risk factors of extensively drug-resistant Acinetobacter baumannii in hospitalized elderly patients with hematological infection, so as to facilitate clinical prevention and treatment. Methods The elderly (> 80 years old) hospitalized patients with hematological infection in our hospital from 2015 to 2021 were selected for analysis. Firstly, 314 patients with extensively drug-resistant Acinetobacter baumannii hematological infection were distinguished by etiological analysis. A total of 98 cases of death were detected during hospitalization (later referred to as the observation group). By comparing with the surviving patients (216 cases) (later referred to as the control group), the general data of patients with XDRAB infection were collected, and the risk of death and its influencing factors were analyzed. Results In the study, the proportion of patients in the observation group who used catheters was higher, the catheter retention time was longer, the acute physiology and chronic health status II scores were higher, and the proportion of patients who lost self-care ability was also higher. Conclusion The death of blood borne infection of extensively drug-resistant Acinetobacter baumannii in elderly patients is affected by many factors. Among them, patients who use catheters for a long time, have poor self-care ability and lose self-care ability have a higher risk of death, which is worthy of clinical attention.