Acinetobacter bacteraemia in Thailand: evidence for infections outside the hospital setting

PORTER, K. A.; RHODES, J.; DEJSIRILERT, S.; HENCHAICHON, S.; SILUDJAI, D.; THAMTHITIWAT, S.; PRAPASIRI, P.; JORAKATE, P.; KAEWPAN, A.; PERUSKI, L. F.; KERDSIN, A.; PRASERT, K.; YUENPRAKONE, S.; MALONEY, S. A.; BAGGETT, H. C.

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Acinetobacter bacteraemia in Thailand: evidence for infections outside the hospital setting

September 04 2013
By PORTER, K. A. ; RHODES, J. ; DEJSIRILERT, S. ; ...
Source: Epidemiol Infect. 142(6):1317-1327

[PDF-408.51 KB]

English

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Details:

Alternative Title:

Epidemiol Infect
Personal Author:

PORTER, K. A. ; RHODES, J. ; DEJSIRILERT, S. ; HENCHAICHON, S. ; SILUDJAI, D. ; ... More +

PORTER, K. A. ; RHODES, J. ; DEJSIRILERT, S. ; HENCHAICHON, S. ; SILUDJAI, D. ; THAMTHITIWAT, S. ; PRAPASIRI, P. ; JORAKATE, P. ; KAEWPAN, A. ; PERUSKI, L. F. ; KERDSIN, A. ; PRASERT, K. ; YUENPRAKONE, S. ; MALONEY, S. A. ; BAGGETT, H. C. Less -
Description:

Acinetobacter is a well-recognized nosocomial pathogen. Previous reports of community-associated Acinetobacter infections have lacked clear case definitions and assessment of healthcare-associated (HCA) risk factors. We identified Acinetobacter bacteraemia cases from blood cultures obtained <3 days after hospitalization in rural Thailand and performed medical record reviews to assess HCA risk factors in the previous year and compare clinical and microbiological characteristics between cases with and without HCA risk factors. Of 72 Acinetobacter cases, 32 (44%) had no HCA risk factors. Compared to HCA infections, non-HCA infections were more often caused by Acinetobacter species other than calcoaceticus-baumannii complex species and by antibiotic-susceptible organisms. Despite similar symptoms, the case-fatality proportion was lower in non-HCA than HCA cases (9% vs. 45%, P < 0·01). Clinicians should be aware of Acinetobacter as a potential cause of community-associated infections in Thailand; prospective studies are needed to improve understanding of associated risk factors and disease burden.
Subjects:

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Acinetobacter Infections Adolescent Adult Aged Article Bacteremia Child Child, Preschool Community-Acquired Infections Cross Infection Female Hospitals Humans Infant Male Middle Aged Population Surveillance Risk Factors Young Adult
Source:

Epidemiol Infect. 142(6):1317-1327
Pubmed ID:

24001479
Pubmed Central ID:

PMC4665982
Document Type:

Journal Article
Funding:

CC999999/Intramural CDC HHS/United States ; T32 AI070114/AI/NIAID NIH HHS/United States ; 1-T32-AI070114-01A1/AI/NIAID NIH HHS/United States

CC999999/Intramural CDC HHS/United States ; T32 AI070114/AI/NIAID NIH HHS/United States ; 1-T32-AI070114-01A1/AI/NIAID NIH HHS/United States Less -
Place as Subject:

Thailand
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:99306317f2bedc85a92e602e447aed04260e091965a02c826510b8b641c37c00
Download URL:

https://stacks.cdc.gov/view/cdc/36733/cdc_36733_DS1.pdf
File Type:

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