Changes in antimicrobial resistance and outcomes of health care–associated infections
European Journal of Clinical Microbiology and Infectious Diseases, vol.40, no.8, pp.1737-1742, 2021 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 40 Issue: 8
- Publication Date: 2021
- Doi Number: 10.1007/s10096-020-04140-y
- Journal Name: European Journal of Clinical Microbiology and Infectious Diseases
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, PASCAL, CAB Abstracts, EMBASE, Environment Index, MEDLINE, Public Affairs Index, Veterinary Science Database
- Page Numbers: pp.1737-1742
- Keywords: associated infections, Blood stream infections, Colistin resistance, Health care
- Trakya University Affiliated: Yes
Abstract
To describe the change in the epidemiology of health care–associated infections (HAI), resistance and predictors of fatality we conducted a nationwide study in 24 hospitals between 2015 and 2018. The 30-day fatality rate was 22% in 2015 and increased to 25% in 2018. In BSI, a significant increasing trend was observed for Candida and Enterococcus. The highest rate of 30-day fatality was detected among the patients with pneumonia (32%). In pneumonia, Pseudomonas infections increased in 2018. Colistin resistance increased and significantly associated with 30-day fatality in Pseudomonas infections. Among S. aureus methicillin, resistance increased from 31 to 41%.