ĐẶC ĐIỂM DỊCH TỄ HỌC LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ BỆNH NHÂN VIÊM PHỔI BỆNH VIỆN DO ACINETOBACTER BAUMANNII TẠI BỆNH VIỆN BỆNH NHIỆT ĐỚI TRUNG ƯƠNG (01/2017 - 12/2018)

Abstract

Objectives: Describe clinical epidemiology, subclinical characteristics and treatment results in the patients with hospital - acquired pneumonia caused by A. baumannii in intensive care units of national hospital for tropical diseases.

Subjects and methods: Including patients aged 16 years or older diagnosed with HAP caused by A. baumannii treated in National Hospital for Tropical Diseases from 1/2017 to 12/2018. Descriptive and retrospective cross - sectional study.

Results: The male/female ratio was 4/1, the mean age of the study patients was 57.3 ± 16.4, in which 50% of patients have comorbidities, the most common underlying disease was hypertention 24.3%, diabetes 18.6%, COPD 4.3%, alcohol 18.6%. Late - onset HAP: 85.7%. Leukocytes 14.3 ± 6.8G/l, CRP 13.4 ± 24.9mg/l, PCT median 1,52, mix - max 0,06 - 100ng/ml. Chest Xray: diffuse lesions ≥ 2 lobules: 56.9%, new lesions: 74.5%. A. baumannii had antibiotic resistance rates above 70% with most commonly used antibiotics but bacteria were 100% susceptible to Colistin and Tigecyclin. The mean duration of stay in hospital: 25.3 ± 16.2 days. Mortality rates after 28 days: 35.7%.