TABLE 2.
Summary of studies (n = 8) regarding P. aeruginosa bacteremia, reporting risk factors for transmission and acquisition of carbapenem-resistant P. aeruginosa, based on multivariate analysesa
| Studyc | Country | Study design | Hospital setting | No. of cases | Quality scoreb | Risk factors |
||||
|---|---|---|---|---|---|---|---|---|---|---|
| For what | Factor | OR estimate | 95% CI | P value | ||||||
| Joo, 2011 (73) | South Korea | cc | mix | 46 | 4 | imp | Aminoglycoside use | 3.60 | 1.39–7.31 | 0.025 |
| Urinary catheter | 3.19 | 1.39–7.31 | 0.006 | |||||||
| Carbapenem use | 2.87 | 1.26–6.56 | 0.012 | |||||||
| Fluoroquinolone use | 2.54 | 1.08–5.96 | 0.033 | |||||||
| Tumbarello, 2011 (74) | Italy | cc | mix | 106 | 6 | mr | Central venous catheter | 17.99 | 6.45–50.09 | <0.001 |
| Previous antibiotic therapy | 2.79 | 1.10–7.07 | 0.03 | |||||||
| Corticosteroid use | 2.73 | 1.06–7.00 | 0.03 | |||||||
| Yang, 2011 (75) | South Korea | cc | pea | 7 | 4 | mr | Admission to ICU | 6.82 | 1.3–35.8 | 0.023 |
| Johnson, 2009 (76) | USA | rc | mix | 113 | 7 | mr | Hospital-acquired BSI | 2.41 | 1.39–4.18 | 0.002 |
| Previous transplantation | 2.38 | 1.51–3.76 | <0.001 | |||||||
| Admission to ICU | 2.04 | 1.15–3.63 | 0.015 | |||||||
| Tam, 2007 (77) | USA | cc | mix | 18 | 4 | car | Additional wk of hospitalization | 1.25 | 1.04–1.51 | 0.019 |
| Falagas, 2006 (78) | Greece | cc | mix | 16 | 4 | mr | Carbapenem use | 9.0 | 2.4–34.3 | 0.001 |
| Kang, 2005 (79) | South Korea | rc | mix | 28 | 6 | imp | Carbapenem use | 40.96 | 8.92–188.3 | <0.001 |
| Fluoroquinolone use | 5.60 | 1.64–19.11 | 0.006 | |||||||
| Invasive procedure within previous 72 h | 4.51 | 1.56–13.04 | 0.005 | |||||||
| El Amari, 2001 (80) | Switzerland | cc | mix | 81 | 4 | mr | Previous monotherapy (including imipenem) | 2.5 | 1.3–4.8 | 0.006 |
OR, odds ratio; CI, confidence interval; cc case control; rc, retrospective cohort; mix, mixed; pea, pediatric general; imp, imipenem; mr, multiresistance, including carbapenems; car, carbapenem; BSI, bloodstream infection.
According to the Newcastle-Ottowa quality assessment scale.
Studies are reported by first author, year, and reference number.