Resumo

ROSANOVA, María T et al. Epidemiological features and risk factors for mortality in Pseudomonas aeruginosa bacteremia in children. Arch. argent. pediatr. [online]. 2019, vol.117, n.2, pp.128-131. ISSN 0325-0075.  http://dx.doi.org/10.5546/aap.2019.128.

The objective was to describe the epidemiological, clinical, microbiological, and evolutionary characteristics and the risk factors for mortality. Retrospective, cohort study. A total of 100 patients were included. Of these, 42 (42 %) had septic shock upon admission and 56 (56 %) were admitted to the intensive care unit. Bacteremia was primary in 17 patients (17 %); catheter-related, in 15 (15 %); and secondary, in 68 (68 %). The most common source of infection was the skin and mucous membrane. Resistance to one or more antibiotic groups was 38 %. Thirty-one patients died (31 %). Risk factors for mortality were septic shock (p < 0.0005), admission to the intensive care unit (p < 0.0001), primary bacteremia (p < 0.009) or secondary, non-catheter-related bacteremia (p < 0.003), presence of mucocutaneous or pulmonary source of infection (p < 0.004), and multidrug resistance (p < 0.01) or resistance to carbapenems (p < 0.01).

Palavras-chave : Bacteremia; Pseudomonas aeruginosa; Mortality; Pediatrics.