Journal of Hebei Medical University

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Analysis of prognostic factors in patients with  severe pneumonia caused by multidrugresistant acinetobacter Baumannii

  

  1. Department of Respiratory Medicine, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
  • Online:2016-08-25 Published:2016-09-01

Abstract: [
Abstract ] Objective Toanalyzetheclinicalfeaturesinpatientswithseverepneumonia
infectedbymultipledrugresistantacinetobacterbaumannii ( MDRAB ), andtoexploretherisk
factorsassociatedwiththeprognosis.Methods Thedataof60patientswithseverepneumonia
causedbyMDRABinintensivecareunit ( ICU ) wereretrospectivelyanalyzed.Thepatientswere
dividedintosurvivalgroupanddeathgroup.Theclinicalcharacteristicsofthetwogroupswere
comparedbysinglefactoranalysisandlogisticregressionanalysis.Results Univariateanalysis
suggestedthatage , APACHEIIscore , PCT , positivebalanceoffluidaccumulationin72hours
andmechanicalventilationmaybeassociatedwithpoorprognosis ( P <0.05 ), buttherewereno
significantdifferenceinwhitebloodcellcountandCRPbetweentwogroups.Logisticregression
analysisshowedthatPCTelevation , theneedformechanicalventilationand72hliquidpositive
balancemaybetheindependentriskfactorsforthepoorprognosis.Conclusion Advancedage ,
highAPACHEIIscore , PCTelevation , needformechanicalventilationandpositivebalanceof fluidaccumulationin72hoursweretheindependentriskfactorsforpoorprognosisinthepatients
withseverepneumoniacausedbyMDRAB.

Key words: pneumonia , acinetobacterBaumannii , riskfactors , prognosis