Asian Pacific Journal of Tropical Biomedicine  2011;1(4):313-315

doi:10.1016/S2221-1691(11)60050-6

Risk factors and outcomes of imipenem-resistant Acinetobacter bloodstream infection in North-Eastern Malaysia.

Zakuan Zainy DERIS 1 ; Mohd Nazri SHAFEI ; Azian HARUN

Affiliations

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Keywords

Acinetobacter baumannii; Bacteraemia; Multi-drug resistant; Outcomes; Risk factors

Country

China

Language

English

MeSH

Abstract

OBJECTIVETo determine the risk factors and outcomes of imipenem-resistant Acinetobacter baumannii (IRAB) bloodstream infection (BSI) cases, since there is very little publication on Acinetobacter baumannii infections from Malaysia.

METHODSA cross sectional study of 41 cases (73.2%) of imipenem-sensitive Acinetobacter baumanii (ISAB) and 15 cases (26.8%) of IRAB was conducted in a teaching hospital which was located at North-Eastern state of Malaysia.

RESULTSThere was no independent risk factor for IRAB BSI identified but IRAB BSI was significantly associated with longer bacteraemic days [OR 1.23 (95% CI 1.01, 1.50)]. Although prior use of carbepenems and cephalosporin were higher among IRAB than ISAB group, statistically they were not significant. There was no significant difference in term of outcomes between the two groups.

CONCLUSIONSAlthough statistically not significant, this analysis compliments previous publication highlighting the importance of appropriate empiric antibiotic usage in hospital especially carbepenems and need further evaluation with bigger subjects.