Author:
PORTER K. A.,RHODES J.,DEJSIRILERT S.,HENCHAICHON S.,SILUDJAI D.,THAMTHITIWAT S.,PRAPASIRI P.,JORAKATE P.,KAEWPAN A.,PERUSKI L. F.,KERDSIN A.,PRASERT K.,YUENPRAKONE S.,MALONEY S. A.,BAGGETT H. C.
Abstract
SUMMARYAcinetobacteris a well-recognized nosocomial pathogen. Previous reports of community-associatedAcinetobacterinfections have lacked clear case definitions and assessment of healthcare-associated (HCA) risk factors. We identifiedAcinetobacterbacteraemia cases from blood cultures obtained <3 days after hospitalization in rural Thailand and performed medical record reviews to assess HCA risk factors in the previous year and compare clinical and microbiological characteristics between cases with and without HCA risk factors. Of 72Acinetobactercases, 32 (44%) had no HCA risk factors. Compared to HCA infections, non-HCA infections were more often caused byAcinetobacterspecies other thancalcoaceticus–baumanniicomplex species and by antibiotic-susceptible organisms. Despite similar symptoms, the case-fatality proportion was lower in non-HCA than HCA cases (9%vs. 45%,P < 0·01). Clinicians should be aware ofAcinetobacteras a potential cause of community-associated infections in Thailand; prospective studies are needed to improve understanding of associated risk factors and disease burden.
Publisher
Cambridge University Press (CUP)
Subject
Infectious Diseases,Epidemiology
Cited by
9 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献