Factores de riesgo para bacteriemia por Pseudomonas aeruginosa resistente a carbapenémicos adquirida en un hospital colombiano / Risk factors for hospital-acquired bacteremia due to carbapenem-resistant Pseudomonas aeruginosa in a Colombian hospital
To evaluate the risk factors for presentation of bacteremia due to carbapenem-resistant P. aeruginosa acquired in the Hospital Universitario San Ignacio between January 2008 and June 2014. Materials and
In all, 168 patients were evaluated, of which 42 were cases and 126 controls. Using a multivariate model, the risk factors related to bacteremia due to carbapenem-resistant P. aeruginosa acquired in hospital were the following use of parenteral nutrition (OR=8.28; 95% CI 2.56-26.79; p=0); use of meropenem (OR=1.15; 95% CI 1.03-1.28; p=0.01); and use of ciprofloxacin (OR=81.99; 95% CI 1.14-5884; p=0.043).
Conclusion:
In order to prevent the emergence of carbapenem-resistant P. aeruginosa , antimicrobial control programs should be strengthened by promoting the prudent administration of carbapenems and quinolones. The correct use of parenteral nutrition should also be monitored.