Abstract
Extended spectrum β-lactamase-producing Escherichia coli (ESBL-EC) has important implications for infection control and empiric antibiotic prescribing. This study aims to develop a risk scoring system for predicting ESBL-EC infection based on local epidemiology. The study retrospectively collected eligible patients with a positive culture for E. coli during 2011 to 2014. The risk scoring system was developed using variables independently associated with ESBL-EC infection through logistic regression-based prediction. Area under the receiver-operator characteristic curve (AuROC) was determined to confirm the prediction power of the model. Predictors for ESBL-EC infection were male gender [odds ratio (OR): 1.53], age ≥55 years (OR: 1.50), healthcare-associated infection (OR: 3.21), hospital-acquired infection (OR: 2.28), sepsis (OR: 1.79), prolonged hospitalization (OR: 1.88), history of ESBL infection within one year (OR: 7.88), prior use of broad-spectrum cephalosporins within three months (OR: 12.92), and prior use of other antibiotics within three months (OR: 2.14). Points scored ranged from 0 to 47, and were divided into three groups based on diagnostic performance parameters: low risk (score: 0-8; 44.57%), moderate risk (sco...Continue Reading
References
Jun 1, 1992·Chest·R C BoneW J Sibbald
May 17, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Yardena Siegman-IgraMichael Giladi
Sep 13, 2007·The Journal of Antimicrobial Chemotherapy·Mitchell J Schwaber, Yehuda Carmeli
Dec 12, 2007·Antimicrobial Agents and Chemotherapy·Christian G GiskeUNKNOWN ReAct-Action on Antibiotic Resistance
Feb 23, 2008·The Lancet Infectious Diseases·Johann D D Pitout, Kevin B Laupland
Dec 17, 2009·Epidemiology·Ewout W SteyerbergMichael W Kattan
Feb 20, 2010·Drugs·Johann D D Pitout
Jul 20, 2010·Diagnostic Microbiology and Infectious Disease·Raquel PaniaguaRafael Cantón
Feb 5, 2011·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Ya-Sung YangFeng-Yee Chang
May 4, 2011·Antimicrobial Agents and Chemotherapy·Mario TumbarelloRoberto Cauda
Oct 18, 2011·Emerging Infectious Diseases·Patrice NordmannLaurent Poirel
Mar 20, 2012·Antimicrobial Agents and Chemotherapy·Céline SlekovecDidier Hocquet
Mar 31, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Johan van GriensvenJef Van den Ende
Jun 16, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Latania K Logan
Jan 31, 2013·Intensive Care Medicine·R P DellingerUNKNOWN Surviving Sepsis Campaign Guidelines Committee including The Pediatric Subgroup
Mar 8, 2013·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Steven W JohnsonRichard H Drew
Jun 27, 2013·Cardiorenal Medicine·Andrew K RoyPatrick T Murray
Jul 13, 2013·The Journal of Hospital Infection·T GoulenokJ-R Zahar
Nov 30, 2013·Pharmaceuticals·Ian MorrisseyDouglas Biedenbach
Mar 7, 2014·BMC Medicine·Teresa CardosoLuís Azevedo
Jul 16, 2014·Médecine et maladies infectieuses·A DaroukhM A Bouldouyre
Apr 18, 2015·Critical Care Medicine·Mirjam J D DautzenbergUNKNOWN Mastering hOSpital Antimicrobial Resistance in Europe Work Package 3 Study Team
May 13, 2015·The Canadian Journal of Hospital Pharmacy·My-Linh NguyenRosemary Zvonar
Jun 24, 2015·Antimicrobial Agents and Chemotherapy·Sarah M DrawzJames R Johnson
Oct 13, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Joshua T ThadenDeverick J Anderson
Nov 26, 2015·The Journal of Hospital Infection·J A MaslikowskaA Simor
Citations
Oct 12, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Zaira Raquel Palacios-BaenaUNKNOWN Spanish Network for Research in Infectious Diseases
(REIPI)/European Study Group of Bloodstream Infectio
Nov 22, 2017·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Charlesnika T EvansKatie J Suda
Sep 6, 2017·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Wen-Pin TsengShey-Ying Chen
Oct 27, 2016·Current Opinion in Infectious Diseases·Matteo BassettiDavide Pecori
Jan 29, 2019·Journal of the Pediatric Infectious Diseases Society·Anna C Sick-SamuelsPranita D Tamma
Oct 22, 2016·Expert Review of Anti-infective Therapy·Matteo BassettiMaddalena Peghin
Feb 1, 2019·Antimicrobial Resistance and Infection Control·Merel M C LambregtsMark G J de Boer
Feb 14, 2019·Wellcome Open Research·Mathupanee OonsivilaiBen S Cooper
Aug 2, 2020·BMC Infectious Diseases·Alvaro J Martínez-ValenciaSonia I Cuervo Maldonado
Jul 2, 2019·Bulletin of the World Health Organization·Yanhong Jessika HuHerbert H Pang
Jul 9, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J W Timotëus DeelenUNKNOWN ESBL-PREDICT Study Team
Sep 16, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Marion ElligsenNick Daneman
Mar 17, 2021·Transplant Infectious Disease : an Official Journal of the Transplantation Society·Rebecca WangJudith A Anesi