Comparison of Length of Hospital Stay for Community-Acquired Infections Due to Enteric Pathogens, Influenza Viruses and Multidrug-Resistant Bacteria: A Cross-Sectional Study in Hungary.
Nikolett OroszTünde Tóthné TóthGyöngyi Vargáné GyuróZsoltné Tibor NábrádiKlára Hegedűsné SorosiZsuzsa NagyÉva RigóÁdám KaposiGabriella GömöriCornelia Melinda Adi SantosoAttila NagyPublished in: International journal of environmental research and public health (2022)
Community-acquired infections (CAI) can affect the duration of care and mortality of patients. Therefore, we aimed to investigate these as well as factors influencing the length of hospital stay in patients with CAI due to enteric pathogens, influenza viruses and multidrug-resistant (MDR) bacteria. We obtained data on 531 patients with CAI from the medical databases of a Hungarian university hospital and analyzed their characteristics using a regression model. Patients with MDR bacterial infection had the highest mortality (26.24%) and they stayed significantly longer in the hospital than cases with other CAIs. Our results showed that infection by Clostridioides difficile (odds ratio (OR): 6.98, 95% confidence interval (CI): 1.03-47.48; p = 0.047), MDR Escherichia coli (OR: 7.64, 95% CI: 1.24-47.17; p = 0.029), MDR Klebsiella spp. (OR: 7.35, 95% CI: 1.15-47.07; p = 0.035) and hospitalization in the department of pulmonology (OR: 5.48, 95% CI: 1.38-21.76; p = 0.016) and surgery (OR: 4.19, 95% CI: 1.18-14.81; p = 0.026) significantly increased, whereas female sex (OR: 0.62, 95% CI: 0.40-0.97; p = 0.037) and hospitalization in the department of pediatrics (OR: 0.17, 95% CI: 0.04-0.64; p = 0.009) decreased the odds of staying in the hospital for more than 6 days. Our findings provide new information on the epidemiology of CAI and can contribute to the development of public health programs that decrease the burden of infections acquired in the community.
Keyphrases
- multidrug resistant
- healthcare
- gram negative
- drug resistant
- public health
- acinetobacter baumannii
- klebsiella pneumoniae
- escherichia coli
- risk factors
- mental health
- acute care
- adverse drug
- end stage renal disease
- minimally invasive
- ejection fraction
- cardiovascular events
- chronic kidney disease
- newly diagnosed
- cardiovascular disease
- palliative care
- coronary artery disease
- electronic health record
- prognostic factors
- quality improvement
- pseudomonas aeruginosa
- acute coronary syndrome
- cystic fibrosis
- physical activity
- health insurance
- data analysis
- percutaneous coronary intervention