Carbapenem-Resistant Pseudomonas aeruginosa Bacteremia: Risk Factors for Mortality and Microbiologic Treatment Failure
Author(s) -
Deanna J. Buehrle,
Ryan K. Shields,
Lloyd Clarke,
Brian A. Potoski,
Cornelius J. Clancy,
M. Hong Nguyen
Publication year - 2016
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.01243-16
Subject(s) - bacteremia , pseudomonas aeruginosa , medicine , antimicrobial , drug resistance , carbapenem , antibiotics , antibacterial agent , microbiology and biotechnology , bacteria , biology , genetics
We reviewed 37 patients treated for bacteremia due to carbapenem-resistant (CR)Pseudomonas aeruginosa . Although 65% of isolates were multiple-drug resistant, therapeutic options were available, as all were susceptible to ≥1 antibiotic. A total of 92% of patients received active antimicrobial therapy, but only 57% received early active therapy (within 48 h). Fourteen-day mortality was 19%. Microbiologic failure occurred in 29%. The Pitt bacteremia score (P = 0.046) and delayed active therapy (P = 0.027) were predictive of death and microbiologic failure, respectively.
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