Nosocomial Infections in Adult Patients Supported by Extracorporeal Membrane Oxygenation in a Cardiac Intensive Care Unit
The use of venoarterial (VA) extracorporeal membrane oxygenation therapy (ECMO) in patients admitted to cardiac intensive care units (CICU) has increased. Data regarding infections in this population are scarce. In this retrospective study, we analyzed the risk factors, outcome, and predictors of in...
Ausführliche Beschreibung
Autor*in: |
Simone Mornese Pinna [verfasserIn] Iago Sousa Casasnovas [verfasserIn] María Olmedo [verfasserIn] Marina Machado [verfasserIn] Miriam Juàrez Fernández [verfasserIn] Carolina Devesa-Cordero [verfasserIn] Alicia Galar [verfasserIn] Ana Alvarez-Uria [verfasserIn] Francisco Fernández-Avilés [verfasserIn] Jorge García Carreño [verfasserIn] Manuel Martínez-Sellés [verfasserIn] Francesco Giuseppe De Rosa [verfasserIn] Silvia Corcione [verfasserIn] Emilio Bouza [verfasserIn] Patricia Muñoz [verfasserIn] Maricela Valerio [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2023 |
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Übergeordnetes Werk: |
In: Microorganisms - MDPI AG, 2013, 11(2023), 4, p 1079 |
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Übergeordnetes Werk: |
volume:11 ; year:2023 ; number:4, p 1079 |
Links: |
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DOI / URN: |
10.3390/microorganisms11041079 |
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Katalog-ID: |
DOAJ089805089 |
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520 | |a The use of venoarterial (VA) extracorporeal membrane oxygenation therapy (ECMO) in patients admitted to cardiac intensive care units (CICU) has increased. Data regarding infections in this population are scarce. In this retrospective study, we analyzed the risk factors, outcome, and predictors of in-hospital mortality due to nosocomial infections in patients with ECMO admitted to a single coronary intensive care unit between July 2013 and March 2019 treated with VA-ECMO for <48 h. From 69 patients treated with VA-ECMO <48 h, (median age 58 years), 29 (42.0%) patients developed 34 episodes of infections with an infection rate of 0.92/1000 ECMO days. The most frequent were ventilator-associated pneumonia (57.6%), tracheobronchitis (9.1%), bloodstream infections (9.1%), skin and soft tissue infections (9.1%), and cytomegalovirus reactivation (9.1%). In-hospital mortality was 47.8%, but no association with nosocomial infections was found (<i<p</i< = 0.75). The number of days on ECMO (OR 1.14, 95% CI 1.01–1.30, <i<p</i< = 0.029) and noninfectious complications were higher in the infected patients (OR: 3.8 95% CI = 1.05–14.1). A higher baseline creatinine value (OR: 8.2 95% CI = 1.12–60.2) and higher blood lactate level at 4 h after ECMO initiation (OR: 2.0 95% CI = 1.23–3.29) were significant and independent risk factors for mortality. <b<Conclusions:</b< Nosocomial infections in medical patients treated with VA-ECMO are very frequent, mostly Gram-negative respiratory infections. Preventive measures could play an important role for these patients. | ||
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10.3390/microorganisms11041079 doi (DE-627)DOAJ089805089 (DE-599)DOAJeeaef5bdbc4b4b3c98e2b8e2d11c92d0 DE-627 ger DE-627 rakwb eng QH301-705.5 Simone Mornese Pinna verfasserin aut Nosocomial Infections in Adult Patients Supported by Extracorporeal Membrane Oxygenation in a Cardiac Intensive Care Unit 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The use of venoarterial (VA) extracorporeal membrane oxygenation therapy (ECMO) in patients admitted to cardiac intensive care units (CICU) has increased. Data regarding infections in this population are scarce. In this retrospective study, we analyzed the risk factors, outcome, and predictors of in-hospital mortality due to nosocomial infections in patients with ECMO admitted to a single coronary intensive care unit between July 2013 and March 2019 treated with VA-ECMO for <48 h. From 69 patients treated with VA-ECMO <48 h, (median age 58 years), 29 (42.0%) patients developed 34 episodes of infections with an infection rate of 0.92/1000 ECMO days. The most frequent were ventilator-associated pneumonia (57.6%), tracheobronchitis (9.1%), bloodstream infections (9.1%), skin and soft tissue infections (9.1%), and cytomegalovirus reactivation (9.1%). In-hospital mortality was 47.8%, but no association with nosocomial infections was found (<i<p</i< = 0.75). The number of days on ECMO (OR 1.14, 95% CI 1.01–1.30, <i<p</i< = 0.029) and noninfectious complications were higher in the infected patients (OR: 3.8 95% CI = 1.05–14.1). A higher baseline creatinine value (OR: 8.2 95% CI = 1.12–60.2) and higher blood lactate level at 4 h after ECMO initiation (OR: 2.0 95% CI = 1.23–3.29) were significant and independent risk factors for mortality. <b<Conclusions:</b< Nosocomial infections in medical patients treated with VA-ECMO are very frequent, mostly Gram-negative respiratory infections. Preventive measures could play an important role for these patients. ECMO venoarterial extracorporeal membrane oxygenation nosocomial infections cardiac intensive care unit cardiovascular infections Biology (General) Iago Sousa Casasnovas verfasserin aut María Olmedo verfasserin aut Marina Machado verfasserin aut Miriam Juàrez Fernández verfasserin aut Carolina Devesa-Cordero verfasserin aut Alicia Galar verfasserin aut Ana Alvarez-Uria verfasserin aut Francisco Fernández-Avilés verfasserin aut Jorge García Carreño verfasserin aut Manuel Martínez-Sellés verfasserin aut Francesco Giuseppe De Rosa verfasserin aut Silvia Corcione verfasserin aut Emilio Bouza verfasserin aut Patricia Muñoz verfasserin aut Maricela Valerio verfasserin aut In Microorganisms MDPI AG, 2013 11(2023), 4, p 1079 (DE-627)750370696 (DE-600)2720891-6 20762607 nnns volume:11 year:2023 number:4, p 1079 https://doi.org/10.3390/microorganisms11041079 kostenfrei https://doaj.org/article/eeaef5bdbc4b4b3c98e2b8e2d11c92d0 kostenfrei https://www.mdpi.com/2076-2607/11/4/1079 kostenfrei https://doaj.org/toc/2076-2607 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2023 4, p 1079 |
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10.3390/microorganisms11041079 doi (DE-627)DOAJ089805089 (DE-599)DOAJeeaef5bdbc4b4b3c98e2b8e2d11c92d0 DE-627 ger DE-627 rakwb eng QH301-705.5 Simone Mornese Pinna verfasserin aut Nosocomial Infections in Adult Patients Supported by Extracorporeal Membrane Oxygenation in a Cardiac Intensive Care Unit 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The use of venoarterial (VA) extracorporeal membrane oxygenation therapy (ECMO) in patients admitted to cardiac intensive care units (CICU) has increased. Data regarding infections in this population are scarce. In this retrospective study, we analyzed the risk factors, outcome, and predictors of in-hospital mortality due to nosocomial infections in patients with ECMO admitted to a single coronary intensive care unit between July 2013 and March 2019 treated with VA-ECMO for <48 h. From 69 patients treated with VA-ECMO <48 h, (median age 58 years), 29 (42.0%) patients developed 34 episodes of infections with an infection rate of 0.92/1000 ECMO days. The most frequent were ventilator-associated pneumonia (57.6%), tracheobronchitis (9.1%), bloodstream infections (9.1%), skin and soft tissue infections (9.1%), and cytomegalovirus reactivation (9.1%). In-hospital mortality was 47.8%, but no association with nosocomial infections was found (<i<p</i< = 0.75). The number of days on ECMO (OR 1.14, 95% CI 1.01–1.30, <i<p</i< = 0.029) and noninfectious complications were higher in the infected patients (OR: 3.8 95% CI = 1.05–14.1). A higher baseline creatinine value (OR: 8.2 95% CI = 1.12–60.2) and higher blood lactate level at 4 h after ECMO initiation (OR: 2.0 95% CI = 1.23–3.29) were significant and independent risk factors for mortality. <b<Conclusions:</b< Nosocomial infections in medical patients treated with VA-ECMO are very frequent, mostly Gram-negative respiratory infections. Preventive measures could play an important role for these patients. ECMO venoarterial extracorporeal membrane oxygenation nosocomial infections cardiac intensive care unit cardiovascular infections Biology (General) Iago Sousa Casasnovas verfasserin aut María Olmedo verfasserin aut Marina Machado verfasserin aut Miriam Juàrez Fernández verfasserin aut Carolina Devesa-Cordero verfasserin aut Alicia Galar verfasserin aut Ana Alvarez-Uria verfasserin aut Francisco Fernández-Avilés verfasserin aut Jorge García Carreño verfasserin aut Manuel Martínez-Sellés verfasserin aut Francesco Giuseppe De Rosa verfasserin aut Silvia Corcione verfasserin aut Emilio Bouza verfasserin aut Patricia Muñoz verfasserin aut Maricela Valerio verfasserin aut In Microorganisms MDPI AG, 2013 11(2023), 4, p 1079 (DE-627)750370696 (DE-600)2720891-6 20762607 nnns volume:11 year:2023 number:4, p 1079 https://doi.org/10.3390/microorganisms11041079 kostenfrei https://doaj.org/article/eeaef5bdbc4b4b3c98e2b8e2d11c92d0 kostenfrei https://www.mdpi.com/2076-2607/11/4/1079 kostenfrei https://doaj.org/toc/2076-2607 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2023 4, p 1079 |
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10.3390/microorganisms11041079 doi (DE-627)DOAJ089805089 (DE-599)DOAJeeaef5bdbc4b4b3c98e2b8e2d11c92d0 DE-627 ger DE-627 rakwb eng QH301-705.5 Simone Mornese Pinna verfasserin aut Nosocomial Infections in Adult Patients Supported by Extracorporeal Membrane Oxygenation in a Cardiac Intensive Care Unit 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The use of venoarterial (VA) extracorporeal membrane oxygenation therapy (ECMO) in patients admitted to cardiac intensive care units (CICU) has increased. Data regarding infections in this population are scarce. In this retrospective study, we analyzed the risk factors, outcome, and predictors of in-hospital mortality due to nosocomial infections in patients with ECMO admitted to a single coronary intensive care unit between July 2013 and March 2019 treated with VA-ECMO for <48 h. From 69 patients treated with VA-ECMO <48 h, (median age 58 years), 29 (42.0%) patients developed 34 episodes of infections with an infection rate of 0.92/1000 ECMO days. The most frequent were ventilator-associated pneumonia (57.6%), tracheobronchitis (9.1%), bloodstream infections (9.1%), skin and soft tissue infections (9.1%), and cytomegalovirus reactivation (9.1%). In-hospital mortality was 47.8%, but no association with nosocomial infections was found (<i<p</i< = 0.75). The number of days on ECMO (OR 1.14, 95% CI 1.01–1.30, <i<p</i< = 0.029) and noninfectious complications were higher in the infected patients (OR: 3.8 95% CI = 1.05–14.1). A higher baseline creatinine value (OR: 8.2 95% CI = 1.12–60.2) and higher blood lactate level at 4 h after ECMO initiation (OR: 2.0 95% CI = 1.23–3.29) were significant and independent risk factors for mortality. <b<Conclusions:</b< Nosocomial infections in medical patients treated with VA-ECMO are very frequent, mostly Gram-negative respiratory infections. Preventive measures could play an important role for these patients. ECMO venoarterial extracorporeal membrane oxygenation nosocomial infections cardiac intensive care unit cardiovascular infections Biology (General) Iago Sousa Casasnovas verfasserin aut María Olmedo verfasserin aut Marina Machado verfasserin aut Miriam Juàrez Fernández verfasserin aut Carolina Devesa-Cordero verfasserin aut Alicia Galar verfasserin aut Ana Alvarez-Uria verfasserin aut Francisco Fernández-Avilés verfasserin aut Jorge García Carreño verfasserin aut Manuel Martínez-Sellés verfasserin aut Francesco Giuseppe De Rosa verfasserin aut Silvia Corcione verfasserin aut Emilio Bouza verfasserin aut Patricia Muñoz verfasserin aut Maricela Valerio verfasserin aut In Microorganisms MDPI AG, 2013 11(2023), 4, p 1079 (DE-627)750370696 (DE-600)2720891-6 20762607 nnns volume:11 year:2023 number:4, p 1079 https://doi.org/10.3390/microorganisms11041079 kostenfrei https://doaj.org/article/eeaef5bdbc4b4b3c98e2b8e2d11c92d0 kostenfrei https://www.mdpi.com/2076-2607/11/4/1079 kostenfrei https://doaj.org/toc/2076-2607 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2023 4, p 1079 |
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10.3390/microorganisms11041079 doi (DE-627)DOAJ089805089 (DE-599)DOAJeeaef5bdbc4b4b3c98e2b8e2d11c92d0 DE-627 ger DE-627 rakwb eng QH301-705.5 Simone Mornese Pinna verfasserin aut Nosocomial Infections in Adult Patients Supported by Extracorporeal Membrane Oxygenation in a Cardiac Intensive Care Unit 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The use of venoarterial (VA) extracorporeal membrane oxygenation therapy (ECMO) in patients admitted to cardiac intensive care units (CICU) has increased. Data regarding infections in this population are scarce. In this retrospective study, we analyzed the risk factors, outcome, and predictors of in-hospital mortality due to nosocomial infections in patients with ECMO admitted to a single coronary intensive care unit between July 2013 and March 2019 treated with VA-ECMO for <48 h. From 69 patients treated with VA-ECMO <48 h, (median age 58 years), 29 (42.0%) patients developed 34 episodes of infections with an infection rate of 0.92/1000 ECMO days. The most frequent were ventilator-associated pneumonia (57.6%), tracheobronchitis (9.1%), bloodstream infections (9.1%), skin and soft tissue infections (9.1%), and cytomegalovirus reactivation (9.1%). In-hospital mortality was 47.8%, but no association with nosocomial infections was found (<i<p</i< = 0.75). The number of days on ECMO (OR 1.14, 95% CI 1.01–1.30, <i<p</i< = 0.029) and noninfectious complications were higher in the infected patients (OR: 3.8 95% CI = 1.05–14.1). A higher baseline creatinine value (OR: 8.2 95% CI = 1.12–60.2) and higher blood lactate level at 4 h after ECMO initiation (OR: 2.0 95% CI = 1.23–3.29) were significant and independent risk factors for mortality. <b<Conclusions:</b< Nosocomial infections in medical patients treated with VA-ECMO are very frequent, mostly Gram-negative respiratory infections. Preventive measures could play an important role for these patients. ECMO venoarterial extracorporeal membrane oxygenation nosocomial infections cardiac intensive care unit cardiovascular infections Biology (General) Iago Sousa Casasnovas verfasserin aut María Olmedo verfasserin aut Marina Machado verfasserin aut Miriam Juàrez Fernández verfasserin aut Carolina Devesa-Cordero verfasserin aut Alicia Galar verfasserin aut Ana Alvarez-Uria verfasserin aut Francisco Fernández-Avilés verfasserin aut Jorge García Carreño verfasserin aut Manuel Martínez-Sellés verfasserin aut Francesco Giuseppe De Rosa verfasserin aut Silvia Corcione verfasserin aut Emilio Bouza verfasserin aut Patricia Muñoz verfasserin aut Maricela Valerio verfasserin aut In Microorganisms MDPI AG, 2013 11(2023), 4, p 1079 (DE-627)750370696 (DE-600)2720891-6 20762607 nnns volume:11 year:2023 number:4, p 1079 https://doi.org/10.3390/microorganisms11041079 kostenfrei https://doaj.org/article/eeaef5bdbc4b4b3c98e2b8e2d11c92d0 kostenfrei https://www.mdpi.com/2076-2607/11/4/1079 kostenfrei https://doaj.org/toc/2076-2607 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2023 4, p 1079 |
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10.3390/microorganisms11041079 doi (DE-627)DOAJ089805089 (DE-599)DOAJeeaef5bdbc4b4b3c98e2b8e2d11c92d0 DE-627 ger DE-627 rakwb eng QH301-705.5 Simone Mornese Pinna verfasserin aut Nosocomial Infections in Adult Patients Supported by Extracorporeal Membrane Oxygenation in a Cardiac Intensive Care Unit 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The use of venoarterial (VA) extracorporeal membrane oxygenation therapy (ECMO) in patients admitted to cardiac intensive care units (CICU) has increased. Data regarding infections in this population are scarce. In this retrospective study, we analyzed the risk factors, outcome, and predictors of in-hospital mortality due to nosocomial infections in patients with ECMO admitted to a single coronary intensive care unit between July 2013 and March 2019 treated with VA-ECMO for <48 h. From 69 patients treated with VA-ECMO <48 h, (median age 58 years), 29 (42.0%) patients developed 34 episodes of infections with an infection rate of 0.92/1000 ECMO days. The most frequent were ventilator-associated pneumonia (57.6%), tracheobronchitis (9.1%), bloodstream infections (9.1%), skin and soft tissue infections (9.1%), and cytomegalovirus reactivation (9.1%). In-hospital mortality was 47.8%, but no association with nosocomial infections was found (<i<p</i< = 0.75). The number of days on ECMO (OR 1.14, 95% CI 1.01–1.30, <i<p</i< = 0.029) and noninfectious complications were higher in the infected patients (OR: 3.8 95% CI = 1.05–14.1). A higher baseline creatinine value (OR: 8.2 95% CI = 1.12–60.2) and higher blood lactate level at 4 h after ECMO initiation (OR: 2.0 95% CI = 1.23–3.29) were significant and independent risk factors for mortality. <b<Conclusions:</b< Nosocomial infections in medical patients treated with VA-ECMO are very frequent, mostly Gram-negative respiratory infections. Preventive measures could play an important role for these patients. ECMO venoarterial extracorporeal membrane oxygenation nosocomial infections cardiac intensive care unit cardiovascular infections Biology (General) Iago Sousa Casasnovas verfasserin aut María Olmedo verfasserin aut Marina Machado verfasserin aut Miriam Juàrez Fernández verfasserin aut Carolina Devesa-Cordero verfasserin aut Alicia Galar verfasserin aut Ana Alvarez-Uria verfasserin aut Francisco Fernández-Avilés verfasserin aut Jorge García Carreño verfasserin aut Manuel Martínez-Sellés verfasserin aut Francesco Giuseppe De Rosa verfasserin aut Silvia Corcione verfasserin aut Emilio Bouza verfasserin aut Patricia Muñoz verfasserin aut Maricela Valerio verfasserin aut In Microorganisms MDPI AG, 2013 11(2023), 4, p 1079 (DE-627)750370696 (DE-600)2720891-6 20762607 nnns volume:11 year:2023 number:4, p 1079 https://doi.org/10.3390/microorganisms11041079 kostenfrei https://doaj.org/article/eeaef5bdbc4b4b3c98e2b8e2d11c92d0 kostenfrei https://www.mdpi.com/2076-2607/11/4/1079 kostenfrei https://doaj.org/toc/2076-2607 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2023 4, p 1079 |
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Simone Mornese Pinna Iago Sousa Casasnovas María Olmedo Marina Machado Miriam Juàrez Fernández Carolina Devesa-Cordero Alicia Galar Ana Alvarez-Uria Francisco Fernández-Avilés Jorge García Carreño Manuel Martínez-Sellés Francesco Giuseppe De Rosa Silvia Corcione Emilio Bouza Patricia Muñoz Maricela Valerio |
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Simone Mornese Pinna |
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nosocomial infections in adult patients supported by extracorporeal membrane oxygenation in a cardiac intensive care unit |
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Nosocomial Infections in Adult Patients Supported by Extracorporeal Membrane Oxygenation in a Cardiac Intensive Care Unit |
abstract |
The use of venoarterial (VA) extracorporeal membrane oxygenation therapy (ECMO) in patients admitted to cardiac intensive care units (CICU) has increased. Data regarding infections in this population are scarce. In this retrospective study, we analyzed the risk factors, outcome, and predictors of in-hospital mortality due to nosocomial infections in patients with ECMO admitted to a single coronary intensive care unit between July 2013 and March 2019 treated with VA-ECMO for <48 h. From 69 patients treated with VA-ECMO <48 h, (median age 58 years), 29 (42.0%) patients developed 34 episodes of infections with an infection rate of 0.92/1000 ECMO days. The most frequent were ventilator-associated pneumonia (57.6%), tracheobronchitis (9.1%), bloodstream infections (9.1%), skin and soft tissue infections (9.1%), and cytomegalovirus reactivation (9.1%). In-hospital mortality was 47.8%, but no association with nosocomial infections was found (<i<p</i< = 0.75). The number of days on ECMO (OR 1.14, 95% CI 1.01–1.30, <i<p</i< = 0.029) and noninfectious complications were higher in the infected patients (OR: 3.8 95% CI = 1.05–14.1). A higher baseline creatinine value (OR: 8.2 95% CI = 1.12–60.2) and higher blood lactate level at 4 h after ECMO initiation (OR: 2.0 95% CI = 1.23–3.29) were significant and independent risk factors for mortality. <b<Conclusions:</b< Nosocomial infections in medical patients treated with VA-ECMO are very frequent, mostly Gram-negative respiratory infections. Preventive measures could play an important role for these patients. |
abstractGer |
The use of venoarterial (VA) extracorporeal membrane oxygenation therapy (ECMO) in patients admitted to cardiac intensive care units (CICU) has increased. Data regarding infections in this population are scarce. In this retrospective study, we analyzed the risk factors, outcome, and predictors of in-hospital mortality due to nosocomial infections in patients with ECMO admitted to a single coronary intensive care unit between July 2013 and March 2019 treated with VA-ECMO for <48 h. From 69 patients treated with VA-ECMO <48 h, (median age 58 years), 29 (42.0%) patients developed 34 episodes of infections with an infection rate of 0.92/1000 ECMO days. The most frequent were ventilator-associated pneumonia (57.6%), tracheobronchitis (9.1%), bloodstream infections (9.1%), skin and soft tissue infections (9.1%), and cytomegalovirus reactivation (9.1%). In-hospital mortality was 47.8%, but no association with nosocomial infections was found (<i<p</i< = 0.75). The number of days on ECMO (OR 1.14, 95% CI 1.01–1.30, <i<p</i< = 0.029) and noninfectious complications were higher in the infected patients (OR: 3.8 95% CI = 1.05–14.1). A higher baseline creatinine value (OR: 8.2 95% CI = 1.12–60.2) and higher blood lactate level at 4 h after ECMO initiation (OR: 2.0 95% CI = 1.23–3.29) were significant and independent risk factors for mortality. <b<Conclusions:</b< Nosocomial infections in medical patients treated with VA-ECMO are very frequent, mostly Gram-negative respiratory infections. Preventive measures could play an important role for these patients. |
abstract_unstemmed |
The use of venoarterial (VA) extracorporeal membrane oxygenation therapy (ECMO) in patients admitted to cardiac intensive care units (CICU) has increased. Data regarding infections in this population are scarce. In this retrospective study, we analyzed the risk factors, outcome, and predictors of in-hospital mortality due to nosocomial infections in patients with ECMO admitted to a single coronary intensive care unit between July 2013 and March 2019 treated with VA-ECMO for <48 h. From 69 patients treated with VA-ECMO <48 h, (median age 58 years), 29 (42.0%) patients developed 34 episodes of infections with an infection rate of 0.92/1000 ECMO days. The most frequent were ventilator-associated pneumonia (57.6%), tracheobronchitis (9.1%), bloodstream infections (9.1%), skin and soft tissue infections (9.1%), and cytomegalovirus reactivation (9.1%). In-hospital mortality was 47.8%, but no association with nosocomial infections was found (<i<p</i< = 0.75). The number of days on ECMO (OR 1.14, 95% CI 1.01–1.30, <i<p</i< = 0.029) and noninfectious complications were higher in the infected patients (OR: 3.8 95% CI = 1.05–14.1). A higher baseline creatinine value (OR: 8.2 95% CI = 1.12–60.2) and higher blood lactate level at 4 h after ECMO initiation (OR: 2.0 95% CI = 1.23–3.29) were significant and independent risk factors for mortality. <b<Conclusions:</b< Nosocomial infections in medical patients treated with VA-ECMO are very frequent, mostly Gram-negative respiratory infections. Preventive measures could play an important role for these patients. |
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4, p 1079 |
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Nosocomial Infections in Adult Patients Supported by Extracorporeal Membrane Oxygenation in a Cardiac Intensive Care Unit |
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https://doi.org/10.3390/microorganisms11041079 https://doaj.org/article/eeaef5bdbc4b4b3c98e2b8e2d11c92d0 https://www.mdpi.com/2076-2607/11/4/1079 https://doaj.org/toc/2076-2607 |
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Iago Sousa Casasnovas María Olmedo Marina Machado Miriam Juàrez Fernández Carolina Devesa-Cordero Alicia Galar Ana Alvarez-Uria Francisco Fernández-Avilés Jorge García Carreño Manuel Martínez-Sellés Francesco Giuseppe De Rosa Silvia Corcione Emilio Bouza Patricia Muñoz Maricela Valerio |
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