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Health Implications of Antimicrobial Resistance for Patients With Acute Kidney Injury and Bloodstream Infection

Published online by Cambridge University Press:  02 January 2015

Eric A. J. Hoste ,
Dominique M. Vandijck ,
Raymond C. Vanholder ,
Jan J. De Waele ,
Norbert H. Lameire ,
Stefaan Claus ,
Johan De Schuijmer ,
Annemieke W. Dhondt ,
Johan M. A. Decruyenaere  and
Gerda Verschraegen
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Eric A. J. Hoste*
Affiliation:
Department of Intensive Care, Ghent University Hospital, Ghent, Belgium
Dominique M. Vandijck
Affiliation:
Department of Intensive Care, Ghent University Hospital, Ghent, Belgium
Raymond C. Vanholder
Affiliation:
Renal Division, Ghent University Hospital, Ghent, Belgium
Jan J. De Waele
Affiliation:
Department of Intensive Care, Ghent University Hospital, Ghent, Belgium
Norbert H. Lameire
Affiliation:
Renal Division, Ghent University Hospital, Ghent, Belgium
Stefaan Claus
Affiliation:
Renal Division, Ghent University Hospital, Ghent, Belgium
Johan De Schuijmer
Affiliation:
Hospital Infection Control Department, Ghent University Hospital, Ghent, Belgium
Annemieke W. Dhondt
Affiliation:
Renal Division, Ghent University Hospital, Ghent, Belgium
Johan M. A. Decruyenaere
Affiliation:
Department of Intensive Care, Ghent University Hospital, Ghent, Belgium
Gerda Verschraegen
Affiliation:
Hospital Infection Control Department, Ghent University Hospital, Ghent, Belgium
Stijn I. Blot
Affiliation:
Department of Intensive Care, Ghent University Hospital, Ghent, Belgium
*
Intensive Care Department, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium (Eric.Hoste@UGent.be)
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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.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 9 , September 2007 , pp. 1107 - 1110
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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