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Table 2 Comparison of patients with acquisition of A. baumannii with matched controls

From: Attributable mortality of Acinetobacter baumannii infections in critically ill patients: a systematic review of matched cohort and case-control studies

Reference

Site of infection; patients and setting

Cases

Controls

Matching of controls to cases

Colonization or infection

     
     

Mortality

    

Length of ICU stay (days)

     

Cases

Controls

p

Attributable mortality (%)

Cases

Controls

p

[21]

Acquisition of Ab in critically ill patients in ICU; medical and surgical ICU in Spain

75 patients (48 infected and 27 colonized) with Ab

75 patients without any Ab isolation

(1) Age (± 6 years); (2) sex; (3) APACHE II; (4) date of admission; (5) primary diagnosis of ICU admission; (6) LOS in the ICU at least as long as that of the case before isolation of Ab; (7) Mechanical ventilation for >24 h

ICU: 37/75 (49%)

ICU: 14/75 (19%)

< 0.001

30 (95% CI 23–37)

Mean 30.7, SD 26.9, median 23, IQR 11–37

Mean 13.8, SD 16.4, median 10, IQR 6–15

< 0.001

[20]

Nosocomial acquisition of MDR Ab; MICU in France

40 patients (13 infected and 27 colonized) with Ab

40 patients without any Ab isolation

(1) APACHE II score; (2) LOS in the ICU at least as long as that of the case before isolation of Ab; (3) age; (4) date of admission

Hospital: 20/40 (50%)

Hospital: 10/40 (25%)

0.046

25

Mean 22.6, SD 9.6, median 19, IQR 5–82

Mean 12.3, SD 12.9, median 11, IQR 3–35

< 0.001

[16]

Nosocomial outbreak of MDR Ab; ICU in USA

25 patients (9 infected, 15 colonized) with Ab

32 patients with cultures negative for Ab

(1) Same ICU; (2) date of admission

Hospital: 13/25 (52%)

Hospital: 8/32 (25%)

0.036

27

Mean 19.6, median 18

Mean 6.1, median 4.5

< 0.05

[17]

Colonization or infection due to (89% MDR) Ab; trauma centre in USA. Most patients were in medical, surgical, and burns ICUs

102 patients (33 infected, 69 colonized) with Ab

102 controls without Ab

(1) Primary diagnosis (computerized codes); (2) same period

Hospital: 35/102 (34%)

Hospital: 18/102 (18%)

0.007

16

Mean 27.35, SD 28.21

Mean 5.53, SD 15.87

< 0.001

[19]

Colonization or infection due to Ab; university hospital in France. 52% of the patients were hospitalized in an ICU

121 patients (infected or colonized) with Ab

121 patients with the same specimen as cases found negative for Ab

(1) Same unit; (2) same period; (3) same type of specimen

NR

NR

NR

NR

Mean 29, SD 20

Mean 13, SD 10

NR

  1. Acquisition of A. baumannii is defined as patients colonized or infected with the organism; matched controls were those without acquisition of the organism. Ab, Acinetobacter baumannii; APACHE, Acute Physiology and Chronic Health Evaluation; CI, confidence interval; ICU, intensive care unit; IQR, interquartile range; LOS, length of stay; MDR, multidrug resistant; NR, not reported.