Abstract

DR-BSI caused by Acitetobacter carbapenem resistant and 3 DR-BSI by P. aeruginosa carbapenem resistant. Median time to diagnosis for DR-Nosocomial BSI was 14 days (IQR), 7-35 days after hospital admission. For Gram-negative was 11 days (7.5-31.5) and for Grampositive 19 days (7-29). Only 31.7% of DR-BSI received appropriate initial empirical antimicrobial therapy versus 73.5% of non DR-BSI (p<0.001). More than one third (36.5%) of the episodes occur with significant systemic response (severe sepsis or septic shock). The crude mortality rate was 25.4 % (p<0.001). If the patient developed severe sepsis or septic shock crude mortality rose to 52.2%. Conclusion

Highlights

  • Bloodstream infections (BSI) are important causes of morbidity and mortality

  • A retrospective study was conducted about all BSI diagnosed in a secondary hospital during one year

  • Comparisons between groups were performed by means of the X2 test for categorical variables or analysis of variances (ANOVA) for continuous variables

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Summary

Introduction

Bloodstream infections (BSI) are important causes of morbidity and mortality. Most of all, when are caused by drug-resistant organisms (DR). P010: Bloodstream infections by drug-resistant organisms in a secondary hospital T Gimenez-Julvez1*, M Rodriguez-Aguirregabiria1, C Campelo2, E Palencia-Herrejon1, MJ Moreno Sanchez1, S de Juan-García1 From 2nd International Conference on Prevention and Infection Control (ICPIC 2013) Geneva, Switzerland. Introduction Bloodstream infections (BSI) are important causes of morbidity and mortality.

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