Research Article

Clinical Predictors of Pseudomonas aeruginosa Bacteremia in Emergency Department

Table 1

Comparison of clinical characteristics of 54 case patients with Pseudomonas bacteremia and of 108 control patients with E. coli bacteremia in the ED.

CharacteristicsCase (n = 54)Control (n = 108)P value

Age66.4 ± 15.273.5 (71.0-76.0)0.021
Male, no. (%)28 (52)30 (28)0.002

Comorbid conditions, no. (%)
 Diabetes mellitus11 (20)47 (44)0.003
 Cardiovascular disease10 (19)24 (22)0.586
 Respiratory disease1 (2)7 (7)0.201
 Chronic renal failure7 (13)14 (13)1.0
 Liver cirrhosis3 (6)5 (5)1.0
 Rheumatologic disease1 (2)8 (7)0.274
 Neurodegenerative disease9 (17)27 (25)0.230
 Solid tumor25 (46)26 (24)0.004
 Hematological malignancy5 (9)1 (1)0.016

Predisposing conditions, no. (%)
 Indwelling urinary catheter3 (6)10 (9)0.546
 Presence of central venous catheter4 (7)3 (3)0.223
 Nasogastric tube in place2 (4)2 (2)0.601
 Tracheostomy1 (2)2 (2)1.0

Prior hospitalization within 1 year, no. (%)40 (74)52 (48)0.001
Prior surgery within 1 year, no. (%)13 (24)10 (9)0.011
Drug exposure within 1 month, no. (%)
 Immunosuppressant2 (4)7 (6)0.718
 Chemotherapy17 (31)4 (4)<0.0001

Source of bacteremia
 Respiratory tract21 (39)5 (5)<0.0001
 Gastrointestinal tract17 (31)23 (21)0.157
 Urinary tract8 (15)84 (78)<0.0001
 Skin and soft tissue5 (9)00.003
 Central venous catheter00
 Unknown4 (7)00.011

Vital signs on presentation
 SBP, mm Hg117.4 ± 29.3125.7 ± 24.70.061
 DBP, mm Hg70.8 ± 16.372.6 ± 15.60.514
 PR, beats/min104.4 ± 22.2100 (94-104)0.409
 RR, breaths/min19 (18.0-21.3)20 (18-20)0.820
 Body temperature, °C37.8 ± 1.238.4 (38.1-38.8)0.025
 Saturation, %97 (95-98)96 (96-97)0.436

Laboratory findings on presentation
 Leukocyte count, x109cells/mL8810 (6729-12623)10475 (9303-11099)0.223
 Neutropenia15 (28)0<0.0001
 Hemoglobin, g/dL10.4 ± 2.311.6 ± 1.7<0.001
 Platelet, x103/μl178.0 (141.9-213.6)181 (163-197)0.816
 CRP, mg/dL10.46 (7.87-17.53)9.64 (7.79-11.5)0.464
 Lactic acid, mmol/L2.25 (1.43-4.30)2.50 (2.19-2.90)0.642

Arterial blood gas
 pH
7.44 (7.40-7.46)7.44 (7.43-7.46)0.310
 PCO2, mm Hg28.9 (25.8-31.1)29.8 (28.5-30.8)0.252
 PO2, mm Hg77.1 (69.8-83.9)75 (72.3-77.9)0.338
, mmol/L18.2 ± 6.221 (20.1-21.8)0.036
 SpO2, mm Hg95.7 (95.3-97.0)95.6 (95.0-96.3)0.572

Presentation with shock, no. (%)20 (37)26 (24)0.063
Use of vasopressor, no. (%)20 (37)25 (23)0.063
Intubation, no. (%)14 (26)10 (9)0.005
ICU care, no. (%)24 (44)28 (26)0.017
Hospital days9 (3-15)8 (6-9)0.980
In-hospital death, no (%)16 (30)9 (8)<0.001

p<0.05, p<0.01 p<0.001: significant change from baseline values.