Risk-factors for the acquisition of imipenem-resistant Acinetobacter baumannii in Spain: a nationwide study

Cisneros, José Miguel; Rodríguez-Baño, Jesús; Fernández-Cuenca, Felipe; Ribera, Anna; Vila, Jordi; Pascual, Álvaro; Martínez-Martínez, Luis; Bou, Germán; Pachón, Jerónimo

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https://hdl.handle.net/2183/45715

Risk-factors for the acquisition of imipenem-resistant Acinetobacter baumannii in Spain: a nationwide study

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Cisneros_Risk-factors_2005.pdf (310.76 KB)

Identifiers

URI: https://hdl.handle.net/2183/45715

DOI: 10.1111/j.1469-0691.2005.01256.x

Publication date

2005-11

Authors

Cisneros, José Miguel

Rodríguez-Baño, Jesús

Fernández-Cuenca, Felipe

Ribera, Anna

Vila, Jordi

Pascual, Álvaro

Martínez-Martínez, Luis

Bou, Germán

Pachón, Jerónimo

Bibliographic citation

Cisneros JM, Rodríguez-Baño J, Fernández-Cuenca F, Ribera A, Vila J, Pascual A, Martínez-Martínez L, Bou G, Pachón J; Spanish Group for Nosocomial Infection (GEIH) for the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC). Risk-factors for the acquisition of imipenem-resistant Acinetobacter baumannii in Spain: a nationwide study. Clin Microbiol Infect. 2005 Nov;11(11):874-9.

Abstract

[Abstract] Potential risk-factors for the acquisition of imipenem-resistant Acinetobacter baumannii were investigated in a cohort study in 25 Spanish hospitals. The clonal relationship among isolates was determined by pulsed-field gel electrophoresis (PFGE). In total, A. baumannii was isolated from 203 patients, with imipenem-resistant (MIC(90) 128 mg/L) isolates being obtained from 88 patients (43%), and imipenem-susceptible isolates from 115 patients (57%). A wide clonal distribution was observed among the imipenem-resistant isolates, but spread of the same clone among centres was not demonstrated. The results indicated that imipenem-resistant A. baumannii is a widely distributed nosocomial pathogen in Spain and reaches an alarming frequency in some centres. Independent risk-factors for the acquisition of imipenem-resistant A. baumannii were a hospital size of >500 beds (multivariate OR, 6.5; 95% CI, 1.8--23), previous antimicrobial treatment (multivariate OR, 4.3; 95% CI, 1.6--11), a urinary catheter (multivariate OR, 2.7; 95% CI, 1.1--6.7) and surgery (multivariate OR, 2; 95% CI, 1.07--3.8).