title: Acinetobacter Infections among Adult Patients in Qatar: A 2-Year Hospital-Based Study.
abstract: This retrospective study was conducted at Hamad General Hospital, Qatar, to describe the demographic data, clinical features underlying diseases, antimicrobial susceptibility, and outcome of A. baumannii infection. It involved all adult patients 15 years of age or older who were managed at Hamad General Hospital for A. baumannii infection from January 1, 2012, to December 31, 2013. We identified a total of 239 patients with A. baumannii infection, of which 182 (76.2%) were males. The mean age was 49.10 ± 19.57 years. The majority of the episodes (25.1%) occurred in elderly patients (≥65 years) and the most commonly identified site of A. baumannii infection was the respiratory tract, 117 (48.9%). Most episodes of infection, 231 (96.7%), were hospital-acquired and high rate of nosocomial infections occurred in the medical intensive care unit, 66 (28.6%). All patients had underlying medical conditions. Maximum resistance was seen to cefotaxime, 147 (58.3%), and minimum resistance was seen to colistin, 2 (1.4%). Of the 239 isolates, 102 (42.7%) were susceptible and 137 (57.3%) were multidrug-resistant. The in-hospital mortality in our study was 31%. Male gender, multidrug resistance, and septic shock were found to be independent mortality predictors.
authors.affiliation: Infectious Diseases Division, Department of Medicine, Al Khor Hospital, Al Khor, Qatar.
authors.forename: Musaed Saad
authors.initials: MS
authors.lastname: Al Samawi
authors.affiliation: Department of Medicine, Hamad General Hospital, Doha, Qatar.
authors.forename: Fahmi Yousef
authors.initials: FY
authors.lastname: Khan
authors.affiliation: Infectious Diseases Division, Department of Medicine, Al Khor Hospital, Al Khor, Qatar.
authors.forename: Yasser
authors.initials: Y
authors.lastname: Eldeeb
authors.affiliation: Infectious Diseases Division, Department of Medicine, Hamad General Hospital, Doha, Qatar.
authors.forename: Muna
authors.initials: M
authors.lastname: Almaslamani
authors.affiliation: Infectious Diseases Division, Department of Medicine, Hamad General Hospital, Doha, Qatar.
authors.forename: Abdullatif
authors.initials: A
authors.lastname: Alkhal
authors.affiliation: Infectious Diseases Division, Department of Medicine, Hamad General Hospital, Doha, Qatar.
authors.forename: Hussam
authors.initials: H
authors.lastname: Alsoub
authors.affiliation: Department of Medicine, Al Khor Hospital, Al Khor, Qatar.
authors.forename: Wissam
authors.initials: W
authors.lastname: Ghadban
authors.affiliation: Infectious Diseases Division, Department of Medicine, Hamad General Hospital, Doha, Qatar.
authors.forename: Faraj
authors.initials: F
authors.lastname: Howady
authors.affiliation: Infectious Diseases Division, Department of Medicine, Hamad General Hospital, Doha, Qatar.
authors.forename: Samar
authors.initials: S
authors.lastname: Hashim