Journal
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
Volume 48, Issue 4, Pages -Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0300060520910917
Keywords
Tigecycline; multidrug-resistance; Acinetobacter baumannii; hospital-acquired pneumonia
Funding
- National Key R&D Program of China [2018YFC1311900]
- National Natural Science Foundation of China [81770080]
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Objective: To compare outcomes and prognostic factors of tigecycline (TC)-based treatment with those of other antibiotic-based treatments in the treatment of hospital-acquired pneumonia caused by multidrug-resistant Acinetobacter baumannii (MDRAB). Methods: A retrospective analysis of data was performed from all patients >= 18 years who were treated in the ICU at Xiangya Hospital, Changsha, China (January 2016 to June 2017) with hospital-acquired pneumonia involving monomicrobial MDRAB. Patients were separated into TC and non-TC groups. Results: Of 86 MDRAB-positive patients, 59 were in the TC group and 27 were in the non-TC group. The 28-day death rates were not significantly different between the two groups, but the TC group had significantly more patients with a good clinical prognosis than the non-TC group. Although prognostic markers for a poor clinical response were sepsis, procalcitonin concentration and APACHE II scores, TC therapy was found to be a protective factor. Conclusions: TC based therapy was associated with a positive clinical response in the treatment of MDRAB caused hospital-acquired pneumonia. Further studies are required to confirm our results.
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