Multi-resistant Acinetobacter baumannii on a burns unit--clinical risk factors and prognosis

Burns. 2002 Jun;28(4):349-57. doi: 10.1016/s0305-4179(02)00012-8.

Abstract

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.

MeSH terms

  • APACHE
  • Acinetobacter / drug effects
  • Acinetobacter Infections / etiology*
  • Acinetobacter Infections / mortality
  • Adolescent
  • Adult
  • Aged
  • Burn Units*
  • Catheterization / adverse effects
  • Child
  • Cross Infection / etiology*
  • Drug Resistance, Multiple, Bacterial*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Risk Factors