Antimicrobial resistance in nosocomial bloodstream infection associated with pneumonia and the value of systematic surveillance cultures in an adult intensive care unit

Critical Care Medicine
Pieter DepuydtFrancis Colardyn

Abstract

To study the occurrence of multiple-drug-resistant pathogens in nosocomial bloodstream infection associated with pneumonia. To evaluate prediction of multiple drug resistance by systematic surveillance cultures. A retrospective study of a prospectively gathered cohort. Fifty-four-bed adult medical-surgical intensive care unit of a tertiary hospital. One hundred twelve intensive care unit patients with nosocomial bloodstream infection associated with pneumonia from 1992 through 2001. None. Concordance of blood cultures with prior surveillance culture was assessed. Surveillance cultures were taken routinely as thrice weekly urinary cultures and oral swabs, once weekly anal swabs, and thrice weekly tracheal aspirates in intubated patients. Tracheal surveillance cultures from 48 to 96 hrs before bloodstream infection and surveillance cultures from any site during the same intensive care unit episode but >or=48 hrs before bloodstream infection were evaluated separately. Forty-four bloodstream infections (39%) were caused by a multiple-drug-resistant pathogen. Multiple-drug-resistant pathogens were predicted by tracheal surveillance culture in 70% (concordant); in 15%, tracheal surveillance culture grew a multiple-drug-resistant path...Continue Reading

References

Apr 25, 1990·Nucleic Acids Research·J L WeberP E May
May 1, 1984·The American Review of Respiratory Disease·C S Bryan, K L Reynolds
Nov 14, 1997·American Journal of Respiratory and Critical Care Medicine·C DelclauxC Brun-Buisson
Feb 26, 1998·American Journal of Respiratory and Critical Care Medicine·J L TrouilletC Gibert
Jun 13, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J G BartlettT M File
Apr 8, 1999·American Journal of Respiratory and Critical Care Medicine·D K HeylandC Brun-Buisson
Oct 6, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M H Kollef
Mar 17, 2001·The Journal of Antimicrobial Chemotherapy·F BarchiesiM A Viviani
Apr 9, 2001·Critical Care Medicine·M S Niederman
Jan 10, 2002·American Journal of Respiratory and Critical Care Medicine·Jan HayonJean Chastre
May 29, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Stijn BlotFrancis Colardyn
Jul 13, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Scott D HanesTimothy C Fabian
Sep 10, 2002·The Journal of Infection·N D FriedmanD W Spelman
Nov 13, 2002·The American Journal of Medicine·Stijn I BlotFrancis A Colardyn
Feb 11, 2003·Critical Care Medicine·George H Karam, Michael S Niederman
Apr 10, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·David L Paterson, Louis B Rice
Jul 9, 2003·Critical Care Medicine·Emilio BouzaUNKNOWN Cardiovascular Infection Study Group
Sep 23, 2003·Critical Care Medicine·Christopher J Crnich, Richard A Proctor
Oct 8, 2003·Critical Care Medicine·Jordi Rello, Emili Diaz
Apr 7, 2004·Acta Clinica Belgica·S Blot, K Vandewoude
Jan 11, 2005·Critical Care Medicine·Jordi RelloEmili Diaz
Jul 16, 2005·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Stijn BlotKoenraad Vandewoude
Aug 13, 2005·Critical Care Medicine·Marin H Kollef, Scott T Micek

❮ Previous
Next ❯

Citations

Aug 21, 2008·Intensive Care Medicine·Evangelos PapadomichelakisHelen Giamarellou
Jan 12, 2011·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·H BabaD L Paterson
Jan 6, 2007·Critical Care Medicine·Marc LeoneClaude Martin
Jan 26, 2007·Critical Care Medicine·Pieter Depuydt, Stijn Blot
Jan 17, 2008·Respirology : Official Journal of the Asian Pacific Society of Respirology·Robert J BootsJoan L Faoagali
Feb 18, 2011·Critical Care : the Official Journal of the Critical Care Forum·Mònica MagretUNKNOWN EU-VAP/CAP Study Group
Nov 19, 2008·Critical Care : the Official Journal of the Critical Care Forum·Pieter O DepuydtDominique D Benoit
Aug 2, 2007·The Annals of Pharmacotherapy·Katherine Yang, B Joseph Guglielmo
Jan 10, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·S BlotD Vogelaers
Jun 2, 2007·Intensive Care Medicine·Stijn I BlotUNKNOWN Executive Board of the Flemish Society for Critical Care Nurses
Apr 10, 2012·Resuscitation·Joseph Y Ting
Nov 2, 2011·Burns : Journal of the International Society for Burn Injuries·Nele BrusselaersStijn Blot
Feb 13, 2015·Critical Care : the Official Journal of the Critical Care Forum·Christian Brun-Buisson
Jan 11, 2011·Medicina intensiva·M J López-PueyoJ Garnacho-Montero
Jan 16, 2010·Journal of Critical Care·Jan J De WaeleDirk Vogelaers
Oct 4, 2008·Best Practice & Research. Clinical Anaesthesiology·Jeanine P Wiener-Kronish, Henry Isaiah Dorr
Mar 4, 2008·International Journal of Antimicrobial Agents·Pieter DepuydtJohan Decruyenaere
Apr 7, 2007·Burns : Journal of the International Society for Burn Injuries·D M VandijckS I Blot
Feb 6, 2008·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Dominique M VandijckJohan M Decruyenaere
Dec 23, 2006·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·D M VandijckJ M Decruyenaere
Oct 20, 2007·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·S Blot
Jun 15, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Paolo MalacarneSimone Verdigi
Jul 5, 2007·Current Opinion in Infectious Diseases·Stijn BlotDirk De Bacquer
Oct 28, 2008·Dimensions of Critical Care Nursing : DCCN·Dominique M VandijckJohan M Decruyenaere
Sep 13, 2008·Current Opinion in Critical Care·Marc Leone, Claude Martin
Apr 26, 2019·Journal of Veterinary Emergency and Critical Care·Samuel D Stewart, Sarah Allen
Mar 25, 2014·Expert Review of Anti-infective Therapy·Menino Osbert CottaStijn Blot
Apr 6, 2011·European Journal of Anaesthesiology·Julien TextorisMarc Leone
Mar 13, 2014·Current Opinion in Pulmonary Medicine·Johannes B J ScholteCatharina F M Linssen
Dec 22, 2010·Expert Review of Anti-infective Therapy·Julien TextorisMarc Leone

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