Prognostic factors of health care-associated bloodstream infection in adult patients ≥40 years of age

Hsuan-Yin Ma; I-Chen Hung; Ya-Huei Huang; Ying-Ying Chang; Wang-Huei Sheng; Jann-Tay Wang; Wei-Chu Chie; Jen-Pei Liu; Yee-Chun Chen

doi:10.1016/j.ajic.2017.07.003

Prognostic factors of health care-associated bloodstream infection in adult patients ≥40 years of age

Am J Infect Control. 2018 Jan;46(1):111-114. doi: 10.1016/j.ajic.2017.07.003. Epub 2017 Aug 24.

Authors

Hsuan-Yin Ma¹, I-Chen Hung², Ya-Huei Huang², Ying-Ying Chang², Wang-Huei Sheng³, Jann-Tay Wang⁴, Wei-Chu Chie⁵, Jen-Pei Liu⁶, Yee-Chun Chen⁴

Affiliations

¹ Derchen Women and Children Hospital, Kaoshiung, Taiwan.
² Infection Control Center, National Taiwan University Hospital, Taipei, Taiwan.
³ Infection Control Center, National Taiwan University Hospital, Taipei, Taiwan; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. Electronic address: whsheng@ntu.edu.tw.
⁴ Infection Control Center, National Taiwan University Hospital, Taipei, Taiwan; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
⁵ Department of Family Medicine, National Taiwan University Hospital, Taipei, Taiwan; School of Public Health, National Taiwan University, Taipei, Taiwan.
⁶ Department of Agronomy, National Taiwan University, Taipei, Taiwan.

PMID: 28844380
DOI: 10.1016/j.ajic.2017.07.003

Abstract

We investigated 401 geriatric patients and 453 middle-aged patients with health care-associated bloodstream infection (HABSI) at a medical center during January-December 2014. Compared with middle-aged patients, the geriatric group had higher 30-day mortality (31.2% vs 23.4%, P = .01). Body mass index, serum albumin concentration, Charlson comorbidity index score, vancomycin-resistant Enterococcus bacteremia, and high C-reactive protein levels predict poor outcomes for HABSI among adult patients.

Keywords: Geriatric population; Health care–associated bloodstream infection; Prognostic factors.

MeSH terms

Adult
Aged
Bacteremia / etiology
Bacteremia / mortality*
Bacteremia / pathology*
Cross Infection / mortality*
Cross Infection / pathology*
Female
Humans
Male
Middle Aged
Odds Ratio
Prognosis
Retrospective Studies