Health implications of antimicrobial resistance for patients with acute kidney injury and bloodstream infection

Infect Control Hosp Epidemiol. 2007 Sep;28(9):1107-10. doi: 10.1086/520100. Epub 2007 Jul 12.

Abstract

Studies have produced conflicting findings on outcomes for patients with antimicrobial-resistant infection. This study evaluated whether infection with an antimicrobial-resistant organism affects outcome in critically ill patients with acute kidney injury treated with renal replacement therapy and whose clinical course is complicated with a nosocomial bloodstream infection. We found that infection with an antimicrobial-resistant organism did not adversely affect clinical outcome in this specific cohort, which already has a high mortality rate.

MeSH terms

  • Acute Kidney Injury / complications*
  • Acute Kidney Injury / therapy
  • Aged
  • Bacteremia / complications*
  • Bacteremia / drug therapy
  • Bacteremia / mortality
  • Belgium / epidemiology
  • Cohort Studies
  • Cross Infection / complications*
  • Cross Infection / drug therapy
  • Cross Infection / mortality
  • Drug Resistance, Multiple, Bacterial*
  • Female
  • Gram-Negative Bacterial Infections / drug therapy
  • Gram-Positive Bacterial Infections / drug therapy
  • Humans
  • Intensive Care Units
  • Length of Stay
  • Male
  • Middle Aged
  • Renal Replacement Therapy