Clinical implications of multidrug-resistant microorganisms and fungi isolated from patients with intra-abdominal infections in the Republic of Korea: a multicenter study

Young Kyung Yoon, Kyung Sook Yang, Jieun Kim, Chisook Moon, Mi Suk Lee, Jian Hur, Jeong Yeon Kim, Shin Woo Kim

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of this study was to evaluate the clinical significance of fungi and multidrug-resistant organisms (MDROs) isolated from patients with intra-abdominal infections (IAIs). This multicenter study included consecutive patients admitted for microbiologically proven IAIs at 6 university-affiliated hospitals in South Korea between 2016 and 2018. A total of 1571 patients were enrolled. Multivariable logistic regression analysis revealed that the isolation of MDROs, isolation of Candida spp., underlying renal diseases, Charlson comorbidity score ≥ 3, septic shock, failure to receive a required surgery or invasive intervention, secondary bacteremia due to IAIs, and lower body mass index were found to be independent predictors for 28-day mortality. However, the isolation of Enterococcus spp. was not identified as a significant risk factor. MDROs and Candida spp. were found in 42 (2.7%) and 395 (25.1%), patients respectively. The isolation of MDROs or Candida spp. was a surrogate marker of 28-day mortality.

Original languageEnglish
Article number114960
JournalDiagnostic Microbiology and Infectious Disease
Volume100
Issue number3
DOIs
StatePublished - 2021 Jul

Keywords

  • Candida
  • Enterococcus
  • Intra-abdominal infections
  • Mortality
  • Multidrug-resistance

Fingerprint

Dive into the research topics of 'Clinical implications of multidrug-resistant microorganisms and fungi isolated from patients with intra-abdominal infections in the Republic of Korea: a multicenter study'. Together they form a unique fingerprint.

Cite this