Accès ouvert déclaré
2024
article
Presentation, management, and outcomes of older compared to younger adults with hospital-acquired bloodstream infections in the intensive care unit: a multicenter cohort study
Ili Margalit, Dafna Yahav, Tomer Hoffman, Alexis Tabah, Stéphane Ruckly, François Barbier, Pierre Singer, Jean‐François Timsit, Virginie Prendki, Niccolò Buetti, Jeffrey Lipman, Hamish Pollock, Ben Margetts, Andrew Udy, Meredith Young, Neeraj Bhadange, Steven Tyler, Anne Ledtischke, Mackenzie Finnis, Jyotsna Dwivedi, Manoj Saxena, Vishwanath Biradar, Natalie Soar, Vineet Sarode, David Brewster, Adrian Regli, Elizabeth Weeda, Samiul Parvez Ahmed, Cheryl Fourie, Kevin B. Laupland, Mahesh Ramanan, James Walsham, Jason Meyer, Edward Litton, Anna Maria Palermo, Timothy A. Yap, Ege Eroglu, Antony Attokaran, C’havala Jaramillo, Khalid Mahmood Khan Nafees, Nurhikmahtul Aqilah Haji Abd Rashid, Haji Adi Muhamad Ibnu Walid, Tomas Mon, P. Dhakshina Moorthi, Shah Sudhirchandra, Dhadappa Damodar Sridharan, Qiu Haibo, Jianfeng Xie, Lu Wei-Hua, Zhen Wang, Chuanyun Qian, Jili Luo, Xiaomei Chen, Hao Wang, Peng Zhao, Juan Zhao, Wusi Qiu, Chen Mingmin, Lei Xu, Chengfen Yin, Ruilan Wang, Jinfeng Wang, Yongjie Yin, Min Zhang, Jilu Ye, Chungfang Hu, Suming Zhou, Min Huang, Jing Yan, Yan Wang, Bingyu Qin, Ling Ye, Xie Weifeng, Li Peije, Nan Geng, Lowell Ling, Yoshiro Hayashi, Toshiyuki Karumai, Masaki Yamasaki, Satoru Hashimoto, Koji Hosokawa, Junichiro Makino, Takeo Matsuyoshi, Akira Kuriyama, Hidenobu Shigemitsu, Yuka Mishima, Michio Nagashima, Hideki Yoshida, Koichiro Omori, Hiroshi Rinka, Hiroki Saito, Kaori Atobe, Hideaki Kato, Shunsuke Takaki, Mohd Shahnaz Hasan, Muhamad Fadhil Hadi Jamaluddin, Lee See Pheng, Sheshendrasurian Visvalingam, Mun Thing Liew, Siong Ling Danny Wong, Kean Khang Fong, Hamizah Bt Abdul Rahman, Zuraini Md Noor, Lee Kok Tong, Abd. Hamid Azman, Mohd Zulfakar Mazlan, Saedah Ali, Anton Abello, Kyeongman Jeon, Sang‐Min Lee, Sunghoon Park, Seung Yong Park, Sung Yoon Lim, Qing Yuan Goh, Shin Yi Ng, Sui An Lie, Andrea Lay‐Hoon Kwa, Ken Junyang Goh, Andrew Li, Caroline Yu Ming Ong, Jia Yan Lim, Jessica Lishan Quah, Kangqi Ng, Louis Xiang Long Ng, Yu‐Chang Yeh, Nai‐Kuan Chou, Cong-Tat Cia, Ting-Yu Hu, Li‐Kuo Kuo, Shih‐Chi Ku, Phunsup Wongsurakiat, Yutthana Apichatbutr, Supattra Chiewroongroj, Rashid Nadeem, Ashraf El Houfi, Adel Alsisi, Amr Elhadidy, Mina Barsoum, Nermin Osman, Tarek M. Mostafa, Mohamed Elbahnasawy, Ahmed Yousuf Saber, Amer Aldhalia, Omar Elmandouh, Ahmed ElSayed, Merihan A. Elbadawy, Ahmed K. Awad, Hanan M. Hemead, Farid Zand, Maryam Ouhadian, Seyed Hamid Borsi, Zahra Mehraban, Davood Kashipazha, Fatemeh Ahmadi, Mohsen Savaie, Farhad Soltani, Mahboobeh Rashidi, Reza Baghbanian, Fatemeh Javaherforoosh, Fereshteh Talebpour Amiri, Arash Kiani, Mohammad Amin Zargar, Ata Mahmoodpoor, Fatemeh Aalinezhad, Gholamreza Dabiri, Golnar Sabetian, Hakimeh Sarshad, Mansoor Masjedi, Ramin Tajvidi, Seyed Mohammad Nasirodin, Abdullah Khudhur Ahmed, Ilya Kagan, Merav Rigler, Daniel Belman, Phillip D. Levin, Belal Harara, Adei Diab, Fayez Abilama, Rebecca Ibrahim, Aya Fares, Ahmad Buimsaedah, Marwa Gamra, Ahmed Aqeelah, Almajdoub Ali Mohammed Ali, Ahmed Gaber Sadik Homaidan, Bushray Almiqlash, Hala Bilkhayr, Ahmad Bouhuwaish, Ahmed Sa Taher, Eman Abdulwahed, Fathi A. Abousnina, Aisha Khaled Hdada, Rania Jobran, Hayat Ben Hasan, Rabab Shaban Ben Hasan, Issam Serghini, Rachid Seddiki, Brahim Boukatta, Nabil Kanjaa, Doumiri Mouhssine, Maazouzi Ahmed Wajdi, Tarek Dendane, Amine Ali Zeggwagh, Brahim Housni, Oujidi Younes, Abdelhamid Hachimi, Alexander Ghannam, Z. Belkhadir, Sarah Amro, Mustafa Abu Jayyab, Ali Ait Hssain, Abdurahaman Elbuzidi, Edin Karic, Marcus D. Lancé, Nissar Shaikh, Hend Sallam, Omar Elrabi, Ghaleb A. Almekhlafi, Maher Awad, Ahmed Aljabbary, Mohammad Karam Chaaban, Natalia Abu-Sayf, Mazzeh Kiwan, Mohammad Al-Jadaan, Lubna Bakr, Mounir Bouaziz, Olfa Turki, Walid Sellami, Pablo Vega Centeno, José Oscar Acevedo, Patricia Mabel Lopez, Rubén Fernández, Matías Segura, Yanina Nuccetelli, Pablo Montefiore, Luis Felipe Reyes, Silvio A. Ñamendys‐Silva, Juan P. Romero-González, Mariana Hermosillo, Roberto Alejandro Castillo, Jesús Nicolás Pantoja Leal, Candy Garcia Aguilar, Mara Ocotlan Gonzalez Herrera, Missael Vladimir Espinoza Villafuer Lomeli-Teran, Jose G. Dominguez-Cherit, Adrian Davalos-Alvarez, Luis Alejandro Sánchez‐Hurtado, Brigitte Tejeda-Huezo, Orlando Rubén Pérez‐Nieto, Ernesto Deloya Tomas, Guy François, Liesbet De Bus, Jan J. De Waele, Isabelle Hollevoet, Wouter Denys, Marc Bourgeois, Jean-Baptiste Mesland, Pierre Henin, Lionel Haentjens, Patrick Biston, Cindérella Noël, Nathalie Layos, Benoît Misset, Nicolas De Schryver, Nicolas Serck, Xavier Wittebole, Elisabeth De Waele, Godelive Opdenacker, Peđja Kovačević, Biljana Zlojutro, Aida Custovic, Ina Filipović-Grčić, Radovan Radonić, Ana Vujaklija Brajković, Jasminka Peršec, Sanja Sakan, Mario Nikolic, Hrvoje Lasic, Étienne Ruppé, Philippe Montravers, Marc Léone, Charlotte Arbelot, Mme Juliette Patrier, N. Zappela, Thierry Dulac, Jérémy Castanera, Johann Auchabie, Anthony Le Meur, Antoine Marchalot, M. Beuzelin, Alexandre Massri, Charlotte Guesdon, Étienne Escudier, Philippe Mateu, Jérémy Rosman, O. Leroy, S. Alfandari, Nica Alexandru, Bertrand Souweine, Elisabeth Coupez, Thibault Duburcq, Éric Kipnis, Perrine Bortolotti, Mathieu Le Souhaitier, Jean‐Paul Mira, Pierre Garçon, Matthieu Duprey, Martial Thyrault, Rémi Paulet, François Philippart, Marc Tran, Cédric Bruel, Emmanuel Weiss, Sylvie Janny, Arnaud Foucrier, Pierre-François Pérrigault, Flora Djanikian, Marc Gainnier, Jérémy Bourenne, Guillaume Louis, Roland Smonig, Laurent Argaud, Thomas Baudry, Armand Mekonted Dessap, Keyvan Razazi, Pierre Kalfon, Gaëtan Badre, Romaric Larcher, Jean‐Yves Lefrant, Claire Roger, Benjamine Sarton, Stein Silva, Sophie Demeret, Loïc Le Guennec, Shidasp Siami, Christelle Aparicio, Guillaume Voiriot, Muriel Fartoukh, Claire Dahyot‐Fizelier, Nadia Imzi, Kada Klouche, Hendrik Bracht, Sandra Hoheisen, Frank Bloos, Daniel Thomas‐Rueddel, Sirak Petros, Bastian Pasieka, Simon Dubler, Karsten Schmidt, Antje Gottschalk, Carola Wempe, Philippe Lepper, Carlos Metz, Dmitriy Viderman, Yerlan Umbetzhanov, Miras Mugazov, Yelena Bazhykayeva, Zhannur Kaligozhin, Baurzhan Babashev, Yevgeniy Merenkov, Talgat Temirov, Kostoula Arvaniti, Dimitrios Smyrniotis, Vasiliki Psallida, Georgios Fildisis, Evangelos Kaimakamis, Cristina Iasonidou, Sofia Papoti, Maria Vasileiou, Vasiliki Romanou, Vasiliki Koutsoukou, Mariana Kristina Matei, Leora Moldovan, Ilias Karaiskos, Harry Paskalis, Kyriaki Marmanidou, Metaxia Papanikolaou, C. Kampolis, Marina Oikonomou, Evangelos Kogkopoulos, Charikleia Nikolaou, Anastasios Sakkalis, Marinos Chatzis, Maria Georgopoulou, Anna Efthymiou, Vasiliki Chantziara, Aikaterini Sakagianni, Zoi Athanasa, Eirini Papageorgiou, Fadi Ali, G. Dimopoulos, Mariota Panagiota Almiroudi, Polychronis Malliotakis, Diamantina Marouli, Vasiliki Theodorou, Ioannis Retselas, Vasilios Kouroulas, Γεώργιος Παπαθανάκος, Gabriele Sales, Gennaro De Pascale, Luca Montini, Simone Carelli, Joel Vargas, Valentina Di Gravio, Daniele Roberto Giacobbe, Angelo Gratarola, Elisa Porcile, Michele Mirabella, Ivan Daroui, Giovanni Lodi, Francesco Zuccaro, Maria Grazia Schlevenin, Paolo Pelosi, Denise Battaglini, Andrea Cortegiani, Mariachiara Ippolito, Davide Bellina, Andrea Di Guardo, Lorella Pelagalli, Marco Covotta, Monica Rocco, Silvia Fiorelli, Anna Chiara Rizzo, Adam Mikstacki, Barbara Tamowicz, Irmina Kaptur Komorowska, Anna Szcześniak, Szpital Wojewodzki W. Opolu, Jozef Bojko, Anna Kotkowska, Paulina Walczak-Wieteska, Dominika Wasowska, Tomasz Nowakowski, Hanna Broda, Mariusz Peichota, Iwona Pietraszek-Grzywaczewska, Ignacio Martín‐Loeches, Alessandra Bisanti, Pedro Póvoa, Nuno Cartoze, Tiago Pereira, Madalena Alves, Ana Josefina Pinheiro Marques, Ana Rios Pinto, Andriy Krystopchuk, Ana Teresa, Jose De Almeida, António Manuel Pereira de Figueiredo, Isabel Botelho, Tiago L. Duarte, Vasco Costa, Rui Pedro Cunha, Elena Molinos, Tito da Costa, Sara Ledo, Joana Queiró, Dulce Pascoalinho, Cristina Nunes, José Pedro Moura, Énio Pereira, António Carvalho Mendes, C. C. Iliescu, Liana Văleanu, Șerban Bubenek-Turconi, Ioana Marina Grințescu, Cristian Cobilinschi, Daniela Filipescu, Cornelia Elena Predoi, Dana Tomescu, Mihai Popescu, Alexandra Marcu, Ioana Grigoraș, Olguța Lungu, А. И. Грицан, Anastasia Anderzhanova, Yulia Meleshkina, М. А. Магомедов, E. A. Vagner Perm, Nadezhda Zubareva, Maksim Tribulev, Denis Gaigolnik, Aleksan Eremenko, Natala Vistovskaya, Maria Chukina, Vladislav Belskiy, Mikhail Furman, Ricard Ferrer Rocca, Maria Martinez, Vanessa Casares, Ricard Mellado Artigas, Paula Vera, Matias Flores, Joaquin Amador Amerigo, María Pilar Gracia Arnillas, Rosana Munoz Bermudez, Fernándo Arméstar, Beatriz Catalan, Regina Roig, Laura Raguer, María Dolores Quesada, Emilio Diaz Santos, Gemma Gomà, Alejandro Úbeda, María Salgado, Lorena Forcelledo Espina, Emilio García Prieto, M. J. Asensio, M. Rodriguez, Emilio Maseda, Alejandro Suárez-de-la-Rica, Ignacio Ayestarán, Mariana Andrea Novo, Miguel Ángel Blasco-Navalpotro, Alberto Orejas Gallego, Fredrik Sjövall, Dzana Spahic, Carl Johan Svensson, Michael Haney, Alicia Edin, Joyce Åkerlund, Lina De Geer, J Prazák, Stephan Jakob Chuv, J. L. Pagani, S. Abed-Maillard, Murat Akova, Abdullah Tarık Aslan, Arif Timuroglu, Sesın Kocagöz, Hülya Kuşoğlu, Selcuk Mehtap, Solakoğlu Ceyhun, Neriman Defne Altıntaş, Leyla Talan, Bircan Kayaaslan, Ayşe Kaya Kalem, Ibrahim Kurt, Murat Tellı, Barcin Ozturk, Çiğdem Erol, Emine Kubra Dindar Demiray, Sait Çolak, Türkay Akbaş, Kürşat Gündoğan, Ali Akbari Sari, Canan Agalar, Onur Çolak, Nurcan Baykam, Özlem Akdoğan, Mesut Yılmaz, Burcu Tunay, Rumeysa Cakmak, Neşe Saltoğlu, Rıdvan Karaali, Iftihar Koksal, Firdevs Aksoy, Ahmet Eroglu Kartal, Lütfi Kırdar, Kemal Tolga Saraçoğlu, Yelíz Bílír, Seda Güzeldağ, Gülden Ersöz, Guliz Evik, Hülya Sungurtekin, Cansu Özgen, Cem Erdoğan, Yunus Gürbüz, Nilgün Altın, Yaşar Bayındır, Yasemin Ersoy, Şenay Göksu Tomruk, Ahmet Akyol, Ayşe Batırel, Sabahat Cagan Aktas, Andrew Conway Morris, Matthew Routledge, Ari Ercole, David Antcliffe, Roceld Rojo, Kate Tizard, Maria Faulkner, Amanda Cowton, Melanie Kent, Ashok Raj, Artemis Zormpa, George Tinaslanidis, Reena Khade, Tomasz Torliński, Randeep Mulhi, Shraddha Goyal, Manan Bajaj, Marina Soltan, Aimee Yonan, Rachael Dolan, Aimee Johnson, Caroline Macfie, James Lennard, Maie Templeton, Sonia Sousa Arias, Uwe Franke, Keith Hugill, Hollie Angell, Benjamin J. Parcell, Katherine Cobb, Stephen D. Cole, Tim Smith, Clive Graham, J Cerman, Allison Keegan, Jenny Ritzema, Amanda Sanderson, Ashraf Roshdy, Tamás Szakmány, Tom Baumer, Rebecca Longbottom, Daniel E. Hall, Kate Tatham, S. Loftus, Ahmed Husain, Emily Black, Shaman Jhanji, R. Rao Baikady, Peter McGuigan, Rachel McKee, Santhana Kannan, Supriya Antrolikar, Nicholas Marsden, Valentina Della Torre, Dorota Banach, Ahmed Zaki, Matthew Jackson, Moses Chikungwa, Ben Attwood, Jamie Patel, Rebecca E. Tilley, Sally Humphreys, Paul Jean Renaud, Anton Sokhan, Yaroslava Burma, Wendy Sligl, Nadia Baig, Lorena McCoshen, Demetrios J. Kutsogiannis, Patricia A. Thompson, Tayne Hewer, Raihan Rabbani, Shihan Mahmud Redwanul Huq, Rajib Hasan, Mohammad Motiul Islam, Mohan Gurja, Arvind Baronia, Nikhil Kothari, Ankur Sharma, Saurabh Karmakar, Priya Sharma, Janardan Nimbolkar, Pratit Samdani, R Vaidyanathan, Noor Ahmedi Rubina, Nikhilesh Jain, Madhumati Pahuja, Ritu Singh, Syed Nabeel Muzaffar, Ahmad Ozair, Suhail Sarwar Siddiqui, Payal Bose, Avijatri Datta, Darshana Rathod, Mayur B. Patel, M Renuka, Sailaja K. Baby, Carol Dsilva, Jagadish Chandran, Pralay Shankar Ghosh, Sudipta Kumer Mukherjee, Kaladhar Sheshala, Krushna Chandra Misra, Saidu Yusuf Yakubu, Euphemia Mgbosoro Ugwu, John Olatosi, Ibironke Desalu, Gabriel Asiyanbi, Motunrayo Oladimeji, Olusola Idowu, Fowotade Adeola, Mervyn Mer, Melanie Mc Cree, Ali Adil Ali Karar, Elfayadh Saidahmed, Hytham K. S. Hamid
6Citations signalées — pas une note de qualité
15Institutions déclarées
4Pays d’affiliation déclarés
Résumé fourni par la source
PURPOSE: Older adults admitted to the intensive care unit (ICU) usually have fair baseline functional capacity, yet their age and frailty may compromise their management. We compared the characteristics and management of older (≥ 75 years) versus younger adults hospitalized in ICU with hospital-acquired bloodstream infection (HA-BSI). METHODS: Nested cohort study within the EUROBACT-2 database, a multinational prospective cohort study including adults (≥ 18 years) hospitalized in the ICU during 2019-2021. We compared older versus younger adults in terms of infection characteristics (clinical signs and symptoms, source, and microbiological data), management (imaging, source control, antimicrobial therapy), and outcomes (28-day mortality and hospital discharge). RESULTS: Among 2111 individuals hospitalized in 219 ICUs with HA-BSI, 563 (27%) were ≥ 75 years old. Compared to younger patients, these individuals had higher comorbidity score and lower functional capacity; presented more often with a pulmonary, urinary, or unknown HA-BSI source; and had lower heart rate, blood pressure and temperature at presentation. Pathogens and resistance rates were similar in both groups. Differences in management included mainly lower rates of effective source control achievement among aged individuals. Older adults also had significantly higher day-28 mortality (50% versus 34%, p < 0.001), and lower rates of discharge from hospital (12% versus 20%, p < 0.001) by this time. CONCLUSIONS: Older adults with HA-BSI hospitalized in ICU have different baseline characteristics and source of infection compared to younger patients. Management of older adults differs mainly by lower probability to achieve source control. This should be targeted to improve outcomes among older ICU patients.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Presentation, management, and outcomes of older compared to younger adults with hospital-acquired bloodstream infections in the intensive care unit: a multicenter cohort study
- Date Crossref
- 13/06/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Nosocomial Infections in ICUSepsis Diagnosis and TreatmentUrinary Tract Infections Management