Vancomycin-resistant enterococci colonization does not increase mortality in end-stage kidney failure: a case-control study.
J Hosp Infect
; 85(4): 289-96, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-24161798
ABSTRACT
BACKGROUND:
Vancomycin-resistant enterococci (VRE) colonization is a frequent occurrence in patients with renal failure. Understanding the impact of VRE colonization on this group of patients has considerable clinical applicability.AIM:
To understand whether VRE colonization in renal patients has an impact on number of admissions to hospital, length of stay, and mortality.METHODS:
A retrospective case-control study of renal dialysis patients was performed between 2000 and 2010. Cases were 134 VRE-colonized patients requiring renal replacement therapy and matched controls were 137 non-colonized patients with the same baseline characteristics. Matched cases and controls were analysed for differences in number of admissions, length of stay, and mortality.FINDINGS:
There was no difference in mortality between colonized and non-colonized patients (hazard ratio 1.14; 95% confidence interval 0.78-1.69; P = 0.49). Length of stay for colonized patients was 7.29 days compared with 4.14 days (P < 0.001). The number of admissions for VRE-colonized patients was not significantly different compared with controls (9.34 vs 8.33, P = 0.78).CONCLUSION:
VRE colonization did not increase mortality in renal patients but did contribute to increased length of stay.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
6_ODS3_enfermedades_notrasmisibles
Base de dados:
MEDLINE
Assunto principal:
Portador Sadio
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Infecções por Bactérias Gram-Positivas
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Enterococcus
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Resistência a Vancomicina
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Falência Renal Crônica
Tipo de estudo:
Observational_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Hosp Infect
Ano de publicação:
2013
Tipo de documento:
Article