Research Article

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

Table 3

Comparison of the microbiological characteristics with monomicrobial AB-BSI and polymicrobial AB-BSI.

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

Source of BSIs
 Pneumonia63 (30.9%)56 (33.9%)7 (17.9%)0.052
 Skin and soft tissue infection42 (20.6%)27 (16.4%)15 (38.5%)
 Central venous catheter30 (14.7%)27 (16.4%)3 (7.7%)0.169
 Intra-abdominal44 (21.6%)36 (21.8%)8 (20.5%)0.859
 Primary BSI21 (10.3%)16 (9.7%)5 (12.8%)0.564
 Bone and joint1 (0.5%)1 (0.6%)0 (0%)0.626
 Urinary tract infection1 (1.0%)1 (0.6%)1 (2.6%)0.264
Antibiotic resistancea
 Cefoperazone/Sulbactam (127 vs 34)b39 (24.2%)32 (25.2%)7 (20.6%)0.557
 Ceftazidime (162 vs. 37)b27 (13.6%)20 (12.3%)7 (18.9%)0.292
 Meropenem (163 vs. 36)b124 (62.3%)105 (64.4%)19 (52.8%)0.192
 Imipenem (164 vs. 39)b120 (59.9%)90 (54.9%)30 (76.9%)
 Ceftriaxone (120 vs. 32)b113 (74.3%)85 (70.8%)28 (87.5%)0.055
 Cefepime (163 vs. 39)b108 (53.5%)79 (48.5%)29 (74.4%)
 Tigecycline (162 vs. 37)b6 (3.0%)5 (3.1%)1 (2.7%)0.902
 Tobramycin (162 vs. 36)b84 (42.4%)63 (39.8%)21 (58.3%)
 Amikacin (107 vs. 27)b32 (23.9%)26 (24.3%)6 (22.2%)0.821
 Gentamicin (116 vs. 29)b79 (54.5%)59 (50.9%)20 (69.0%)0.080
 Piperacillin/Tazobactam (119 vs. 31)b93 (62%)67 (56.3%)26 (83.9%)
 Levofloxacin (165 vs. 39)b68 (33.3%)50 (30.3%)18 (46.2%)0.059
 Ciprofloxacin (161 vs. 36)b112 (56.9%)85 (52.8%)27 (75%)
 Doxycycline (32 vs. 5)b14 (37.8%)12 (37.5%)2 (40%)0.915
 Minocycline (116 vs. 31)b124 (84.4%)100 (86.2%)24 (77.4%)0.232
 Ampicillin/Sulbactam (80 vs. 20)b59 (59%)51 (63.7%)8 (40%)0.053
 MDR160 ( 78.4%)125 (75.8%)35 (89.7%)0.056

aNot all agents listed tested in all isolates. bThe numbers in parentheses represent the total numbers of Acinetobacter Baumannii isolates that performed the susceptibility test. Abbreviations: AB-BSI: Acinetobacter Baumannii bloodstream infection; BSI: bloodstream infection; MDR: multidrug resistance. Significant.