TABLE 4.
Clinical characteristics and treatment outcomes of patients with colistin-resistant A. baumannii infectiona
Variable | Result(s) for patient: |
||||||||
---|---|---|---|---|---|---|---|---|---|
a | b | c | d | e | f | g | h | i | |
Age (yr)/gender | 61/M | 33/M | 66/M | 51/F | 82/M | 43/F | 51/M | 69/F | 67/F |
Underlying disease | CBD cancer | LT | Hepatocellular carcinoma | Fulminant hepatitis due to HBV flare-up | Colon cancer, pelvic abscess | Myelodysplastic syndrome on BMT | LT | Metastatic CBD cancer | Supraglottic cancer |
Acquisition | Hospital onset | Hospital onset | Hospital onset | Hospital onset | Hospital onset | Hospital onset | Hospital onset | Hospital onset | Hospital onset |
Ward | SICU | SICU | SICU | MICU | SICU | BMT unit | LT unit | General ward | MICU |
Type of infection | VAP, bacteremia | cIAI, bacteremia | cIAI, bacteremia | HAP, bacteremia | HAP, bacteremia | primary bacteremia | primary bacteremia | HAP, bacteremia | VAP |
Clinical status | |||||||||
Previous use of colistin | Yes | Yes | No | No | No | No | No | Yes | Yes |
Previous use of carbapenem | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Recent operation | Yes | Yes | Yes | No | Yes | No | Yes | No | Yes |
Antibiotic therapy | Colistin, vancomycin, amikacin | Colistin, meropenem, vancomycin | Colistin, vancomycin | Meropenem, vancomycin, levofloxacin | Meropenem, vancomycin, metronidazole | Imipenem, vancomycin, levofloxacin | Linezolid, levofloxacin | Tigecycline | Tigecycline, teicoplanin, rifampin, ampicillin-sulbactam |
Microbiological eradication | Yes | No | Yes | No | No | No | Yes | No | No |
Mortality | |||||||||
14 day | Yes | No | Yes | Yes | Yes | Yes | No | Yes | No |
28 day | Yes | No | Yes | Yes | Yes | Yes | No | Yes | No |
In hospital | Yes | Yes | Yes | Yes | Yes | Yes | No | Yes | No |
Infection related | No | No | No | Yes | Yes | Yes | No | Yes | No |
Abbreviations: M, male; F, female; CBD, common bile duct; LT, liver transplantation; BMT, bone marrow transplantation; SICU, surgical intensive care unit; MICU, medical intensive care unit; VAP, ventilator-associated pneumonia; cIAI, complicated intra-abdominal infection; HAP, hospital-acquired pneumonia.