Diabetes and Hemoglobin A1c as Risk Factors for Nosocomial Infections in Critically Ill Patients
Joint Authors
Charalampidou, Olympia
Makris, Demosthenes
Tsakiridou, Eirini
Xidopoulos, Grigorios
Moraitis, Georgios
Vlachos, Odysseas
Chatzipantazi, Vasiliki
Zakynthinos, Epameinondas
Source
Critical Care Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-29
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Objective.
To evaluate whether diabetes mellitus (DM) and hemoglobin A1c (HbA1c) are risk factors for ventilator-associated pneumonia (VAP) and bloodstream infections (BSI) in critically ill patients.
Methods.
Prospective observational study; patients were recruited from the intensive care unit (ICU) of a general district hospital between 2010 and 2012.
Inclusion criteria: ICU hospitalization >72 hours and mechanical ventilation >48 hours.
HbA1c was calculated for all participants.
DM, HbA1c, and other clinical and laboratory parameters were assessed as risk factors for VAP or BSI in ICU.
Results.
The overall ICU incidence of VAP and BSI was 26% and 30%, respectively.
Enteral feeding OR (95%CI) 6.20 (1.91–20.17; P=0.002) and blood transfusion 3.33 (1.23–9.02; P=0.018) were independent risk factors for VAP.
BSI in ICU (P=0.044) and ICU mortality (P=0.038) were significantly increased in diabetics.
Independent risk factors for BSI in ICU included BSI on admission 2.45 (1.14–5.29; P=0.022) and stroke on admission2.77 (1.12–6.88; P=0.029).
Sepsis 3.34 (1.47–7.58; P=0.004) and parenteral feeding 6.29 (1.59–24.83; P=0.009) were independently associated with ICU mortality.
HbA1c ≥ 8.1% presented a significant diagnostic performance in diagnosing repeated BSI in ICU.
Conclusion.
DM and HbA1c were not associated with increased VAP or BSI frequency.
HbA1c was associated with repeated BSI episodes in the ICU.
American Psychological Association (APA)
Tsakiridou, Eirini& Makris, Demosthenes& Chatzipantazi, Vasiliki& Vlachos, Odysseas& Xidopoulos, Grigorios& Charalampidou, Olympia…[et al.]. 2013. Diabetes and Hemoglobin A1c as Risk Factors for Nosocomial Infections in Critically Ill Patients. Critical Care Research and Practice،Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-459830
Modern Language Association (MLA)
Tsakiridou, Eirini…[et al.]. Diabetes and Hemoglobin A1c as Risk Factors for Nosocomial Infections in Critically Ill Patients. Critical Care Research and Practice No. 2013 (2013), pp.1-9.
https://search.emarefa.net/detail/BIM-459830
American Medical Association (AMA)
Tsakiridou, Eirini& Makris, Demosthenes& Chatzipantazi, Vasiliki& Vlachos, Odysseas& Xidopoulos, Grigorios& Charalampidou, Olympia…[et al.]. Diabetes and Hemoglobin A1c as Risk Factors for Nosocomial Infections in Critically Ill Patients. Critical Care Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-459830
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-459830