TABLE 6.
Impact of carbapenem resistance in Acinetobacter spp. on mortality, LOS, and hospital costs
| Type of study showing an impact of resistance | Setting | Infection | No. of cases/no. of controls | Parameter | Main findings | Significance (P value or 95% CI) | Reference |
|---|---|---|---|---|---|---|---|
| Case-control | Tertiary care | Nosocomial | 10/10 | Mortality | Cases, 34%; controls, 27% | P > 0.05 | 9 |
| LOS | Cases, 31.5 days; controls, 13 days | P = 0.02 | |||||
| Case-control | Tertiary care | Burn patients | 34/43 | Mortality | Cases, 26.5%; controls, 0% | P < 0.01 | 82 |
| LOS | Cases, 32.5 days; controls 21 days | P < 0.01 | |||||
| Case-control | Tertiary care | Burn patients | 34/183 | LOS | Cases, 36.8 days; controls, 25.6 days | P = 0.06 | 81 |
| Cost | Cases, $98,575 higher | P < 0.01 | |||||
| Case-control | Tertiary care | BSI | 40/40a | Mortality | Cases, 57.5%; controls, 25.7% | P = 0.007 | 39 |
| Case-control | ICU | Nosocomial infections | 34/68a | Mortality | OR,b 3.9 | 1.4-10.7 | 61 |
| LOS | Cases, 30 days longer | 11-38 days | |||||
| Case-control | ICU | Colonization | 32/63a | LOS (ICU) | Cases, 19 days longer | 5-28 days | 61 |
Studies with either matched controls or multivariate analysis, in order to minimize confounding.
OR, odds ratio.