Research Article

Multidrug-Resistant Acinetobacter baumannii May Cause Patients to Develop Polymicrobial Bloodstream Infection

Table 1

Baseline characteristics of patients with polymicrobial and monomicrobial AB-BSI.

CharacteristicsTotal (n = 204)Monomicrobial AB-BSI (n = 165)Polymicrobial AB-BSI (n = 39) value

Age, median years (IQR)65.00 (49.25,76.75)68.00 (53,77.50)58 (40.00,76.00)0.069

Male, n (%)138 (67.6%)111 (67.3%)27 (69.2%)0.814

Comorbidities, n (%)
 Diabetes mellitus38 (18.6%)33 (20.0%)5 (12.8%)0.300
 Chronic kidney disease22 (10.8%)18 (10.9%)4 (10.3%)0.906
 Chronic liver disease25 (12.3%)18 (10.9%)7 (17.9%)0.228
 COPD or severe asthma21 (10.3%)18 (10.9%)3 (7.7%)0.552
 Chronic cardiac insufficiency33 (16.2%)27 (16.4%)6 (15.4%)0.881
 Hypertension73 (35.8%)59 (35.8%)14 (35.9%)0.987
 Solid tumor24 (11.8%)21 (12.7%)3 (7.7%)0.380

Trauma56 (27.5%)37 (22.4%)19 (48.7%)
 Gastrointestinal hemorrhage33 (16.2%)24 (14.5%)9 (23.1%)0.193
 Burn injury35 (17.2%)20 (12.1%)15 (38.5%)
 Long-term corticoid treatment43 (21.1%)34 (20.6%)9 (23.1%)0.734
 Cerebrovascular accident34 (16.7%)31 (18.8%)3 (7.7%)0.094

CCI, median (IQR)3 (1.25,6)4 (2,6)2 (1,5)0.077

APACHE II score, median (IQR)14 (10,19.75)14 (10,20)14 (10,17)0.482

SOFA score, median (IQR)4 (2,7)4 (2,7)4 (2,7)0.768

Pitt bacteremia score, median (IQR)3 (1,4)3 (1,4)3 (2,4)0.759

Hospitalization ward, n (%)
 ICU stay96 (47.1%)78 (47.3%)18 (46.2%)0.900

Previous treatment, n (%)
 Parenteral nutrition106 (52%)84 (50.9%)22 (56.4%)0.749
 Mechanical ventilation103 (50.5%)82 (49.7%)21 (53.8%)0.641
 Antibiotic exposure175 (86.2%)140 (85.4%)35 (89.7%)0.476

Surgery73 (35.8%)54 (32.7%)19 (48.7%)0.061
 Renal replacement therapy18 (8.8%)15 (9.1%)3 (7.7%)0.396
 Blood transfusion91 (44.6%)68 (41.2%)23 (59%)

Invasive devices, n (%)
 Central line168 (82.4%)133 (80.6%)35 (89.7%)0.178
 Indwelling urinary catheter157 (77.0%)122 (73.9%)35 (89.7%)
 Intraperitoneal drainage28 (13.7%)20 (12.1%)8 (20.5%)0.171

Prior hospital stays, median days (IQR)13 (7,26)12 (6,27)16 (7,25)0.327

Nosocomial infection, n (%)124 (60.8%)95 (57.6%)29 (74.4%)0.054

Delayed antibiotic therapy, n (%)19 (9.3%)16 (9.7%)3 (7.7%)0.698

Abbreviations: AB-BSI: Acinetobacter baumannii bloodstream infections; COPD: chronic obstructive pulmonary disease; CCI: Charlson Comorbidity Index; SOFA, sequential organ failure assessment; APACHE: acute physiology and chronic health; ICU: intensive care unit; IQR: interquartile range. Significant.