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Table 3 Clinical parameters of investigated BSI cases (n = 24) due to ceftazidime-resistant P. aeruginosa strains: difference between PER-1-positive (PER-1-Pa) and ESBL-negative (ESBL-N-Pa) isolates.a

From: Pseudomonas aeruginosa bloodstream infections: risk factors and treatment outcome related to expression of the PER-1 extended-spectrum beta-lactamase

Clinical parameters

PER-1-Pa

ESBL-N-Pa

P value b

No. BSI episodes

9

15c

-

Severity of septicemia

   

   - Sepsis

5 (55.6)

12 (80.0)

NS

   - Severe sepsis

4 (44.4)

1 (6.7)

0.03

   - Septic shock

0 (0.0)

2 (13.3)

NS

Empirical treatment provided

8 (88.9)

14 (93.3)

NS

   - Adequate

1 (11.1)

9 (60.0)

0.02

Adequate treatment after ID / AST d results

1 (11.1)

12 (80.0)

< 0.01

Predisposing factors for BSI infection

   

   - Bladder catheter

9 (100)

7 (46.7)

0.01

   - Previous use of antibiotics

8 (88.9)

9 (60.0)

NS

   - Intravascular catheter

9 (100)

7 (46.7)

0.01

   - Immunosuppressive therapy

5 (55.6)

5 (33.3)

0.04

   - Previous surgery

7 (77.8)

5 (33.3)

NS

   - Drainages

2 (22.2)

5 (33.3)

NS

   - Mechanical ventilation

6 (66.7)

3 (20.0)

0.03

   - Esophagogastroscopy

1 (11.1)

2 (13.3)

NS

   - Other

4 (44.4) e

4 (26.6) f

-

Overall secondary BSI

5 (55.6)

10 (66.7)

NS

   - Urinary tract

2 (22.2)

3 (20.0)

NS

   - Respiratory tract

3 (33.3)

4 (26.7)

NS

   - IV catheter

1 (11.1)

1 (6.7)

NS

   - Wounds

0 (0.0)

4 (26.7)

NS

  1. a Data are expressed as no. (%) of patients.
  2. b -, not calculated; NS, not significant.
  3. c One patient was affected by three different BSI episodes.
  4. d ID, identification; AST, antimicrobial susceptibility tests.
  5. e Bronchoscopy (n = 1), dialysis (n = 1), parenteral feeding (n = 1), angiografhy (n = 1), and neutropenia (n = 1).
  6. f Bronchoscopy (n = 1), dialysis (n = 1), parenteral feeding (n = 1), nephrostomy (n = 1), and neutropenia (n = 1).