Multi-resistant Acinetobacter baumannii on a burns unit--clinical risk factors and prognosis.
Burns patients are highly susceptible to infection, and preventing and treating infection are integral to the successful management of severe burns.Multi-resistant Acinetobacter baumannii (MR-AB) strains are becoming increasingly important in nosocomial infections. We conducted a retrospective study of all adult admissions to the Singapore General Hospital (SGH) National Burns Center over an 18-month period. The only independent risk factors for the acquisition of MR-AB were the APACHE II score on admission and the number of intravascular lines placed. The only independent predictor of infection with MR-AB was the number of intravascular lines placed. The only independent predictors of longer length of stay were the total number of operations required and infection with MR-AB. The only independent predictor of mortality was the APACHE II score. This is in contrast to other studies that have suggested that the acquisition of MR-AB is an independent risk factor for mortality.
Wong
Ting Hway
TH
Department of Plastic Surgery, Singapore General Hospital, Singapore.
Tan
Ban Hock
BH
Ling
Moi Lin
ML
Song
Colin
C
D018806:APACHE; D000150:Acinetobacter / Q000187:drug effects; D000151:Acinetobacter Infections / Q000209:etiology* / Q000401:mortality; D000293:Adolescent; D000328:Adult; D000368:Aged; D002053:Burn Units; D002404:Catheterization / Q000009:adverse effects; D002648:Child; D003428:Cross Infection / Q000209:etiology*; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors