Review Article

Gram-Negative Infections in Adult Intensive Care Units of Latin America and the Caribbean

Table 2

Multivariate analysis of risk factors for crude mortality and acquisition of drug-resistant Gram-negative infections in Latin American ICUs.

OutcomeRisk factorOR (95% CI)P valueReference

Crude mortalityInadequate antibiotic treatment70.5<0.00001 Zaidi et al. 2002 [24]
Development of VAP7.70.004

Colistin-susceptible VAPOverall ICU stay, 40 days31.6 (31.5–495.9)0.014
Duration of prior antimicrobial therapy >10 days13.2 (2.2–78.7)0.005Rios et al. 2007 [25]
Previous episode of VAP6.0 (1.0–35.7)0.047

Imipenem-resistant P. aeruginosa Previous ICU stay3.54 (1.3–9.7)0.03Furtado et al. 2009 [26]

HAP by imipenem-resistant P. aeruginosa Piperacillin/tazobactam14.31 (1.0–200.2)0.04 Furtado et al. 2010 [27]
Third-generation cephalosporin7.45 (1.8–30.9)0.006

Antimicrobial resistance to Acinetobacter spp. and P. aeruginosa Prior exposure to antimicrobial agentsNR<0.05Weyland et al. 2011 [28]

ICU: intensive care unit, OR: odds ratio, CI: confidence interval, VAP: ventilator-associated pneumonia, HAP: hospital-acquired pneumonia, and NR: not reported.