Publication:
Infections, Antibiotic Treatment and Mortality in Patients Admitted to ICUs in Countries Considered to Have High Levels of Antibiotic Resistance Compared to Those with Low Levels

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dc.authorscopusid7003720094
dc.authorscopusid7102393593
dc.authorscopusid55795331500
dc.authorscopusid16309861300
dc.authorscopusid6701688248
dc.authorscopusid9733347700
dc.authorscopusid9844116800
dc.contributor.authorHanberger, H.
dc.contributor.authorAntonelli, M.
dc.contributor.authorHolmbom, M.
dc.contributor.authorLipman, J.
dc.contributor.authorPickkers, P.
dc.contributor.authorLéone, M.
dc.contributor.authorRello, J.
dc.date.accessioned2020-06-21T09:37:23Z
dc.date.available2020-06-21T09:37:23Z
dc.date.issued2014
dc.departmentOndokuz Mayıs Üniversitesien_US
dc.department-temp[Hanberger] Häkan, Division of Infectious Diseases, Linköpings Universitet, Linkoping, Östergötland, Sweden; [Antonelli] Massimo M., Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Lazio, Italy; [Holmbom] Martin, Division of Infectious Diseases, Linköpings Universitet, Linkoping, Östergötland, Sweden; [Lipman] Jeffrey, Department of Intensive Care Medicine, The University of Queensland, Brisbane, QLD, Australia; [Pickkers] Peter P., Medisch Spectrum Twente (MST), Enschede, Overijssel, Netherlands; [Léone] Marc, Department of Anaesthesia and Intensive Care, Aix Marseille Université, Marseille, Provence-Alpes-Cote d'Azur, France; [Rello] Jordi, Critical Care Department, Hospital Universitari Vall d'Hebron, Barcelona, Barcelona, Spain, Hospital Universitario Joan XXIII de Tarragona, Tarragona, Tarragones, Spain; [Sakr] Yasser L., Department of Anaesthesia and Intensive Care, Friedrich-Schiller-Universität Jena, Jena, Thuringen, Germany; [Walther] Sten Mikael, Department of Medicine and Health, Linköpings Universitet, Linkoping, Östergötland, Sweden; [Vanhems] Philippe V., Service d'Hygiène, Université Claude Bernard Lyon 1, Villeurbanne, Auvergne-Rhone-Alpes, France; [Vincent] Jean Louis, Department of Intensive Care, Hôpital Erasme, Brussels, BRU, Belgium; [Betsch] Hans Michael, Åirhus University Hospital, Denmark; [Fogh] Bjarne, Nostved Hospital, Denmark; [Espersen] Kurt, Rigshospitalet, Copenhagen, Hovedstaden, Denmark; [Jacobsen] K., Sygehus Fyn, Svendborg, Syddanmark, Denmark; [Berezowicz] Pawel Stefan, Sygehus Lillebælt - Vejle, Vejle, Syddanmark, Denmark; [Harjola] Veli Pekka, Helsinki University Hospital, Helsinki, Finland; [Sofianos] Efthimios S., University General Hospital of Thessaloniki "AHEPA", Thessaloniki, Central Macedonia, Greece; [Armaganidis] Apostolos E., School of Medicine, Athens, Attica, Greece; [Routsi] Christina J., Evangelismos Hospital, Athens, Greece; [Bitzani] Militsa, G.Papanikolaou, Greece; [Chalkiadaki] Anthoula, General Hospital of Rethymno, Rethymnon, Crete, Greece; [Michalopoulos] Argyris S., Henry Dunant Hospital, Athens, Attica, Greece; [Mouloudi] Eleni K., Hippokration General Hospital of Thessaloniki, Thessaloniki, Central Macedonia, Greece; [Ioannidou] Eleni N., KAT General Hospital, Greece; [Myrianthefs] Pavlos M., KAT Hospital, Athens, Greece; [Koulenti] Despoina, KAT Hospital, Athens, Greece; [Karampela] Irene, Konstantopoulio General Hospital, Nea Ionia, Attiki, Greece; [Kyriazopoulos] George C., General Hospital of Lamia, Lamia, Greece; [Mandragos] Konstantinos E., Hellenic Red Cross Hospital, Athens, Greece; [Clouva-Molyvdas] Phyllis Maria, Thriassio Hospital of Eleusis, Greece; [Moraiti] A., University General Hospital of Ioannina, Ioannina, Epirus, Greece; [Pneumatikos] Ioannis A., University Hospital of Alexandroupolis, Alexandroupoli, Greece; [Filos] Kriton S., University Hospital of Rion, Patra, Greece; [Zakynthinos] Epaminondas G., University Hospital of Thessaly, Thessaly, Greece; [Kotanidou] Anastasia N., National and Kapodistrian University of Athens, Athens, Attica, Greece; [Vakalos] Aristeidis, General Hospital of Xanthi, Xanthi, Greece; [Sprung] Charles L., Hadassah University Medical Centre, Jerusalem, Israel; [Lev] Amiram, Emek Medical Center, Afula, Israel; [Kishinevsky] Elena K., Kaplan Medical Center, Rehovot, Central District, Israel; [Cohen] Jonathan Elizabeth, Rabin Medical Center Israel, Petah Tiqwa, Israel; [Sofer] Shaul, Soroka University Medical Center, Beer-Sheva, Israel; [Vesconi] Sergio, A.O Niguarda, Italy; [Greco] Stefano, Azienda Ospedaliera di Busto Arsizio, Busto Arsizio, VA, Italy; [Borelli] Massimo, A.O. Treviglio Caravaggio (BG), Caravaggio, Italy; [Cecilia] Piñera M., Anestesia E Rianimazione 2 Prof.De Gaudio, Italy; [Sapuppo] M., ARNAS Ospedale Civico, Palermo, PA, Italy; [Lazzero] A., ASL 10, San Dona di Piave, VE, Italy; [Mangani] Valerio, Hospital San Giovanni di Dio, Florence, Italy; [Petrucci] Nicola, Azienda Ospedaliera Desenzano, Brescia, Italy; [Minerva] Massimo, Azienda Ospedaliera di Melegnano, Melegnano, MI, Italy; [de Blasio] Elvio, Azienda Ospedaliera G. Rummo, Benevento, BN, Italy; [Marzorati] S., Azienda Ospedaliera Polo Universitario San Paolo, San Paolo, Italy; [Rosi] Ranieri, Azienda Ospedaliera Universitaria Senese, Siena, SI, Italy; [Giarratano] Antonino, Azienda Ospedaliera Universitaria P.Giaccone Policlinico, Italy; [Margarit] Orlando, Policlinico Universitario, Udine, Udine, UD, Italy; [Guberti] A., Azienda Ospedaliero -Universitaria, Careggi, Florence, Italy; [Scolz] Sabrina, Azienda Ospedaliero-Universitaria S.M.Misericordia, Italy; [Stelian] Edmond J., Clinica San Gaudenzio, Novara, Italy; [Emmi] Vincenzo, Fondazione IRCCS Policlinico San Matteo, Pavia, PV, Italy; [Caspani] Maria Luisa Rita, Ospedale Maggiore, Bologna, Emilia-Romagna, Italy; [Rosano] Antonio, Fondazione Poliambulanza, Brescia, Italy; [Abbruzzese] C., IRCCS San Gerardo, Monza, Italy; [Colonna] S., Hospital Panico Tricase, Italy; [Ceriani] Roberto, Humanitas Gavazzeni Hospital, Bergamo, BG, Italy; [De Blasi] Roberto Alberto, Azienda Ospedaliero-Universitaria Sant'Andrea, Rome, RM, Italy; [Panella] L., S. Salvatore Hospital, AQ Abruzzo, Italy; [Borrelli] Felice, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, FG, Italy; [Lorella] P., IRCCS Regina Elena National Cancer Institute, Rome, RM, Italy; [Ruatti] Helmut, KH Brixen, Italy; [Munch] C., Osepdali Riuniti Di Ancona, Ancona, Italy; [Sorbara] Carlo, Ospedale Regionale S. Maria dei Battuti, Treviso, TV, Italy; [Fiore] Gilberto, Ospedale Santa Croce - ASL 8, Santa Croce, Italy; [Chieregato] Arturo, Ospedale M. Bufalini, Cesena, FC, Italy; [Conti] Valentina, Ospedale di Circolo e Fondazione Macchi, Italy; [Guadagnucci] Alberto, Ospedale Massa, Massa, Italy; [Pizzamiglio] Mario, Azienda USL di Piacenza, Piacenza, Italy; [Locicero] M., Ospedale Ferrarotto, Catania, CT, Italy; [Marri] I., Ospedale Maggiore, Bologna, Emilia-Romagna, Italy; [Sicignano] Alberto, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; [Conte] Valérie, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; [Oggioni] Roberto, Azienda Sanitaria di Firenze, Florence, FI, Italy; [de Gasperi] Andrea, Asst Grande Ospedale Metropolitano Niguarda, Milan, MI, Italy; [De Negri] Pasquale, IRCCS-CROB, Referral Cancer Center of Basilicata, Rionero in Vulture, PZ, Italy; [Santagostino] G., Ospedale Provinciale Pistoia, Pistoia, Italy; [Fumagalli] Roberto, L'Ospedale San Gerardo, Monza, MB, Italy; [Marino] Giovanni, IRCCS Ospedale San Raffaele, Milan, MI, Italy; [Castiglione] Giacomo, Ospedele Vittorio Emanuele, Italy; [Sforza] D., ASL FG Ambulatorio di Diabetologia San Severo, San Severo, Italy; [Giuseppe] N., S. Camillo Hospitql, Italy; [Bassetti] Matteo, IRCCS San Martino Polyclinic Hospital, Genoa, Italy; [Ferraro] Fausto F., Università degli Studi della Campania Luigi Vanvitelli, Naples, NA, Italy; [Clementi] Stefano, Ospedale 'Citta di Sesto San Giovanni', Sesto, San Giovanni, Italy; [Alessandro] D., Teaching Hospital Careggi, Italy; [Cotogni] Paolo, Azienda Sanitaria Ospedaliera Molinette San Giovanni Battista Di Torino, Turin, TO, Italy; [Ranieri] Mv, Azienda Sanitaria Ospedaliera Molinette San Giovanni Battista Di Torino, Turin, TO, Italy; [Martinelli] L., Università Cattolica del Sacro Cuore, Milan, MI, Italy; [Gianesello] Lara, Università Cattolica del Sacro Cuore, Milan, MI, Italy; [Gullo] Antonino, Azienda Ospedaliera Careggi, Florence, FI, Italy; [Morelli] Andrea, Azienda Ospedaliero Universitaria Policlinico "G.Rodolico - San Marco", Catania, CT, Italy; [Biancofiore] Giandomenico D., Sapienza Università di Roma, Rome, RM, Italy; [Della-Rocca] Giorgio, UTI Trapianti, Italy; [Borg] Michael A., Università degli Studi di Udine, Udine, UD, Italy; [de Pont] Anne Cornélie Jm M., St. Luke's Hospital Malta, Msida, Malta; [Rosseel] Peter M.J., Amsterdam UMC - University of Amsterdam, Amsterdam, Noord-Holland, Netherlands; [Ten Cate] Julia, Amphia Hospital, Breda, Netherlands; [van Berkel] G., Antoni van Leeuwenhoek Ziekenhuis, Amsterdam, Netherlands; [Corsten] Stijn, Beatrix Zienhuis Rivas Zorggroep, Netherlands; [Bakker] Jan, Canisius Wilhelmina Ziekenhuis, Nijmegen, Gelderland, Netherlands; [Vogelaar] John P.W., Erasmus MC, Rotterdam, Zuid-Holland, Netherlands; [Blom] Harmjo, HagaZiekenhuis, The Hague, Netherlands; [Kieft] Hans H., Zuwe Hofpoort Ziekenhuis, Woerden, Netherlands; [Kuiper] Michaël A., Isala Clinics, Zwolle, Netherlands; [Gille] A., Medisch Centrum Leeuwarden, Leeuwarden, Netherlands; [Vet] Jacqueline A.M., Radboud University Medical Center, Nijmegen, Gelderland, Netherlands; [Ammann] Jan, Rode Kruis Ziekenhuis, Heemskerk, Netherlands; [den Boer] Sylvia S., Slingeland Ziekenhuis, Doetinchem, Netherlands; [Wesselink] Ronald M.J., Spaarneziekenhuis, Netherlands; [Speelberg] Ben, St. Antonius Ziekenhuis, Nieuwegein, Utrecht, Netherlands; [Pham] C., ETZ, Tilburg, Noord-Brabant, Netherlands; [Rodgers] Michael G.G., Ziekenhuisgroep Twente, Almelo, Netherlands; [Bergmans] Dennis C.J.J., Universitair Medisch Centrum Groningen, Groningen, Groningen, Netherlands; [Groeneveld] Arie Bastiaan Johan, Maastricht Universitair Medisch Centrum+, Maastricht, Limburg, Netherlands; [Loevstad] R., Amsterdam UMC - Vrije Universiteit Amsterdam, Amsterdam, Noord-Holland, Netherlands; [Klepstad] P°al, Aker University Hospital, Oslo, Oslo, Norway; [Ernø] Per Erik, Universitetssykehuset i Trondheim, Trondheim, Trondelag, Norway; [Junker] A., Sykehuset Asker Og Borum Hf, Asker, Norway; [Bártolo] Anabela, Sykehuset I Vestfold, Tonsberg, Norway; [Castelo-Branco Sousa] Miguel, Centro Hospitalar Alto Ave, Portugal; [Esteves] Francisco J., Centro Hospitalar Cova da Beira, Covilha, Portugal; [Martins] Antonio L., Centro Hospitalar Trás-os-Montes e Alto Douro, Portugal; [Oliveira] T., Hospital São Francisco Xavier, Lisbon, Portugal; [Ponce] P., H S João, Portugal; [Mourão] Luís, Hospital CUF Infante Santo, Santo, Portugal; [Febra] Cláudia, Hospital Curry Cabral, Lisbon, Portugal; [Carmo] Eduarda, Hospital da Luz, Oeiras, Portugal; [Lopes] Vitor, Centro Hospitalar de Lisboa Ocidental Hospital de Egas Moniz, Lisbon, Portugal; [Póvoa] Pedro R., Hospital de São José, Lisbon, Portugal; [Rezende] A., Hospital São Francisco Xavier, Lisbon, Portugal; [Costa] Humberto, Hospital de São José, Lisbon, Portugal; [Moreira] Pedro, Hospital do Divino Espírito Santo, Ponta Delgada, Portugal; [Pádua] F., Hospital do Litoral Alentejano, Santiago, Portugal; [Leite] A., Hospital Dr. José Maria Grande, Portalegre, Portugal; [Almeida] Eduardo P., Hospital Fernando Fonseca, Amadora, Portugal; [Alves] Mj, Hospital Garcia de Orta, Almada, Portugal; [Sousa] Alexandra, Hospital de Santo António, Porto, Porto, Portugal; [Telo] Luís, Hospital de Pulido Valente, Lisbon, Lisbon, Portugal; [Dias] Cicero, Hospital de Pulido Valente, Lisbon, Lisbon, Portugal; [Paiva] José Artur Osório Carvalho, Sao Joao Hospital, Porto, Porto, Portugal; [Ribeiro] Rosa, Sao Joao Hospital, Porto, Porto, Portugal; [Amaro] P., Hospital de São Bernardo, Setubal, Portugal; [Carneiro] António Henriques, Hospital So Sebastio, Santa Maria da Feira, Portugal; [Moreno] Rui R., Hospital Geral de Sto Antánio, Portugal; [Matos] Ricardo, Hospital de St. António Dos Capuchos, Portugal; [Afonso] Susana, Hospital de St. António Dos Capuchos, Portugal; [Bouw] Maria José, Hospital de St. António Dos Capuchos, Portugal; [França] Carlos, Instituto Portugues de Oncologia de Francisco Gentil Lisboa, Lisbon, Portugal; [Rubio-Sanchiz] Olga, Santa Maria Hospital, Lisbon, Lisbon, Portugal; [Máňez] Rafael Sanjuán, Althaia, Spain; [Campiñez] Burgueño, Bellvitge University Hospital, Hospitalet, Barcelona, Spain; [Álvarez] Manuel, Centro Médico Delfos, Spain; [Jordá] Ricard, Clinica Moncloa, Madrid, Madrid, Spain; [Naveira-Abeigón] Enrique, Clínica Rotger, Spain; [Monedero] Pablo, Clinica Santa Elena, Elena, Spain; [Alemparte-Pardavila] Enrique, Clínica Universidad de Navarra, Pamplona, Navarre, Spain; [García-del-Valle] Santiago, Hospital Montecelo, Pontevedra, Galicia, Spain; [Pérez-Calvo] César, Hospital Universitario Fundación Alcorcón, Alcorcon, Madrid, Spain; [Palomar-Martínez] Mercedes, Hospital Universitario Fundación Jiménez Díaz, Madrid, Madrid, Spain; [Guerrero] Fernando Arnaiz, Valle de Hebron, Hebron, Spain; [Caballero Zirena] Ana Carolina, H.U. Virgen de Las Nieves- H. Traumatología Y Rehabilitación, Spain; [Arribas] Miguel Angel, Hospital Virgen de la Concha, Zamora, Zamora, Spain; [Bustamante-Munguira] Elena, Hospital Arnau de Vilanova, Valencia, Spain; [Ruiz] J., Hospital Can Misses, Ibiza, Balearic Islands, Spain; [Iglesias] Lisardo, Hospital General, Donostia-San Sebastian, Spain; [Zavala] Elizabeth, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain; [Valencia] Mauricio L., Hospital Clinic, Sevilla, Spain; [Blesa-Malpica] Antonio Luis, Hospital Clínic de Barcelona, Barcelona, Barcelona, Spain; [Martínez-Sagasti] Fernando, Hospital Clínico San Carlos, Madrid, Madrid, Spain; [Nieto] Mercedes Ángeles Cerón, Hospital Clínico San Carlos, Madrid, Madrid, Spain; [Aguilar] Gerardo, Hospital Clínico San Carlos, Madrid, Madrid, Spain; [Martinón-Torres] Federico, Hospital Clinico Universitario, Alicante, Spain; [Lorente] C., Hospital Clínico Universitario de Santiago, Santiago de Compostela, Galicia, Spain; [Insausti] Jesús M., Unidad de Salud Mental del Hospital Comarcal de Vinaròs, Vinaroz, Castellon, Spain; [Vegas Pinto] Ramón, Hospital Universitario de Navarra, Pamplona, Navarre, Spain; [Santos] Ignacio De Los, Hospital de Antequera, Malaga, Malaga, Spain; [Escriba] A., Osakidetza, Basurto University Hospital, Bilbao, Biscay, Spain; [Olaechea-Astigarraga] Perico María, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain; [Muñoz] Emma, Hospital de Galdakao, Galdakao, Biscay, Spain; [Antón Caraballo] E., Hospital de la Merced, Sevilla, Seville, Spain; [Galdós Anuncibay] Pedro, Hospital de Manacor, Manacor, Balearic Islands, Spain; [López-Camps] Vincent, Hospital Universitario de Móstoles, Mostoles, Madrid, Spain; [Esteban-Reboll] F., Hospital de Sagunto, Valencia, Valencia, Spain; [Estella-García] Ángel, Hospital Verge de la Cinta de Tortosa, Tortosa, Tarragona, Spain; [Bocero] L., Hospital de Jerez, Cadiz, Cadiz, Spain; [Ibañez] A., Osakidetza, Donostia University Hospital, Donostia-San Sebastian, Guipuzcoa, Spain; [Pueyo] L., Hospital Universitario Dr. Peset, Valencia, Valencia, Spain; [María Jesús] L., Complejo Asistencial Universitario de Burgos, Burgos, Burgos, Spain; [Silva-Jr] João Manoel, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain; [Garro] Pau, Hospital General de Ciudad Real, Ciudad Real, Ciudad Real, Spain; [Ramos-Gómez] Luis, Fundacion Hospital Asil de Granollers, Barcelona, Barcelona, Spain; [Rovira] Assumpta, Hospital General de La Palma, Palma, Canary Islands, Spain; [Martín-Delgado] María Cruz, Hospital General de l'Hospitalet, L'Hospitalet, Barcelona, Spain; [Montón Dito] José María, Hospital General de Vic, Barcelona, Barcelona, Spain; [García] Fernando J., Hospital General Salud Obispo Polanco, Spain; [Navarro] J., Complejo Hospitalario Universitario de Albacete, Albacete, Albacete, Spain; [Latour-Pérez] Juan, Hospital General Universitario de Alicante, Alicante, Alicante, Spain; [Albaya] Antonio, Hospital General Universitario de Elche, Elche, Spain; [Bustinza] Amaya, Hospital Universitario de Guadalajara, Guadalajara, Guadalajara, Spain; [Solé-Violán] Jordi, Hospital General Universitario Gregorio Marañón, Madrid, Madrid, Spain; [Ugarte Peña] P., Hospital de Gran Canaria Dr. Negrin, Las Palmas de Gran Canaria, Las Palmas, Spain; [Yuste] I., Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain; [de Rojas-Román] J. P., Hospital MAZ, Zaragoza, Spain; [Vallès] Jordi, Hospital Vithas Parque San Antonio, San Antonio, Spain; [Esteban] Esther M., Hospital de Sabadell, Sabadell, Barcelona, Spain; [Quintana Tort-Martorell] E., Hospital Sant Joan de Déu, Palma, Balearic Islands, Spain; [Moreno] Marisa, Hospital de La Santa Creu I Sant Pau, Barcelona, Barcelona, Spain; [López-Ciudad] Víctor José, Hospital Santa Maria del Rosell, Cartagena, Murcia, Spain; [Manzano-Ramírez] Alberto, Hospital Santa María Madre-Complejo Hospitalario de Ourense, Orense, Spain; [Sánchez-Olmedo] José Ignacio, Hospital Comarcal Santiago Apostol, Miranda de Ebro, Burgos, Spain; [Borges-Sá] Márcio M., UPO University–Sevilla, Sevilla, Spain; [Amador Amerigo] Joaquin, Hospital Universitari Son Llàtzer, Palma, Balearic Islands, Spain; [Guerrero-Gómez] Francisco J., Hospital de Terrassa, Terrassa, Barcelona, Spain; [Montejo-González] Juan Carlos, Complejo Hospitalario Torrecardenas de Almeria, Almeria, Almeria, Spain; [Sirvent] Josep María, Hospital Universitario 12 de Octubre, Madrid, Madrid, Spain; [Mesalles Sanjuán] Eduard, Hospital Universitari de Girona Dr. Josep Trueta, Girona, Girona, Spain; [Barcenilla-Gaite] Fernando, Hospital Universitari Germans Trias i Pujol, Badalona, Spain; [Serrano] Nicolás, Hospital Universitari Arnau de Vilanova de Lleida, Lleida, Lleida, Spain; [Cerdá] Enrique, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Santa Cruz de Tenerife, Spain; [Lesmes-Serrano] A., Hospital Universitario de Getafe, Getafe, Madrid, Spain; [García-Fuentes] Carlos, Hospital Universitario de Valme, Sevilla, Seville, Spain; [Macías Pingarrón] Juan Pedro, Hospital Universitario 12 de Octubre, Madrid, Madrid, Spain; [Espinosa] Elena, Hospital Universitario Infanta Cristina, Parla, Madrid, Spain; [Sánchez-García] Miguel L., Hospital Universitario Nuestra Senora de Candelaria, Santa Cruz de Tenerife, Santa Cruz de Tenerife, Spain; [Álamo Felices] Francisco Diego Álamo, Hospital Universitario Príncipe de Asturias, Alcala de Henares, Madrid, Spain; [de la Torre-Prados] María Victoria, Murcia, Hospital Universitario Reina Sofia, Cordoba, Cordoba, Spain; [Maria Jesus] H., Hospital Universitari Virgen de la Victoria, Malaga, Malaga, Spain; [Luis] V., Hospital Universitario de Puerto Real, Cadiz, Cadiz, Spain; [Jara] R., Hospital Valle del Nalon, Asturias, Asturias, Spain; [Briones López] Miriam J., Virgen Arrixaca Hospital, Spain; [Posada] Pilar, XANIT Hospital Internacional, Benalmadena, Malaga, Spain; [Galván] Beatríz, Hospital Xeral-Cies, Vigo, Galicia, Spain; [Mariscal] Francisco, Hospital Universitario La Paz, Madrid, Madrid, Spain; [Gil] B., Hospital Universitario La Paz, Madrid, Madrid, Spain; [Sierra] Rosario Quispe, Morales Meseguer, Spain; [Rico Feijoó] Jesús, Hospital Universitario Puerta del Mar, Cadiz, Cadiz, Spain; [Corcobado-Márquez] Carmen, Hospital Universitario Río Hortega, Valladolid, Valladolid, Spain; [Izura] Javier J., Hospital San Pedro de Alcantara, Caceres, Caceres, Spain; [González] Jesus Flores, Servicio Navarro de Salud, Hospital Universitario de Navarra, Pamplona, Navarre, Spain; [Soto Ibáñez] J. M., Uci H. U. Salamanca, Salamanca, Spain; [Petersen] Per, Hospital Universitari Dr. Peset, Spain; [Johansson] L., Anestesikliniken, Stockholm, Sweden; [Blomqvist] Hans K., Centralsjukhuset Karlstad, Karlstad, Sweden; [Peterzén] Bengt, Universitetssjukhuset i Linköping, Linkoping, Ostergotlands, Sweden; [Wyon] Nicholas, Universitetssjukhuset i Linköping, Linkoping, Ostergotlands, Sweden; [Stiernström] Hans, Universitetssjukhuset i Linköping, Linkoping, Ostergotlands, Sweden; [Lindström] Ida, Universitetssjukhuset i Linköping, Linkoping, Ostergotlands, Sweden; [Paulsson] A., Göteborg, Gothenburg, Sweden; [Agvald-Öhman] Christina, Kärnsjukhuset, Skovde, Sweden; [Petersson] Johan, Karolinska Universitetssjukhuset, Stockholm, Stockholms, Sweden; [Friberg] Hans A., Karolinska Universitetssjukhuset, Stockholm, Stockholms, Sweden; [Einar] V., Skånes Universitetssjukhus, Lund, Skane, Sweden; [Hammarskjöld] Fredrik, Skånes Universitetssjukhus, Lund, Skane, Sweden; [Schindele] Mattias, Op/IVA-kliniken, Jonkoping, Sweden; [Arvidsson] Svante B., Ostersund Hospital, Ostersund, Sweden; [Sellgren] Johan, Sahlgrenska Universitetssjukhuset, Gothenburg, Vastra Gotaland, Sweden; [Hulting] Johan, Sahlgrenska Universitetssjukhuset, Gothenburg, Vastra Gotaland, Sweden; [Häggqvist] Jan, Södersjukhuset, Stockholm, Stockholms, Sweden; [Rudenstam] J., Södersjukhuset, Stockholm, Stockholms, Sweden; [Lind] Dan, Sollefteå hospital, Solleftea, Sweden; [Kokinsky] Eva, Sunderby Hospital, Lulea, Sweden; [Öwall] Anders, Drottning Silvias Barnsjukhus, Gothenburg, Vastra Gotaland, Sweden; [Jacobson] Sofie, Thoracic Anaesthetics/Intensive Care, Karolinska Universitetssjukhuset, Stockholm, Stockholms, Sweden; [Nydahl] Anders, Norrlands universitetssjukhus, Umea, Vasterbottens, Sweden; [Atalan] Korkut, Universitetssjukhuset Örebro, Orebro, Orebro, Sweden; [Ates] C., Acibadem Kadiköy Hospital, Kadikoy, Istanbul, Turkey; [Kahveci] Arzu, Acibadem Bakirkoy Hospital, Bakirkoy, Turkey; [Fistikci] H., Acibadem Bursa Hospital, Bursa, Turkey; [Kaya] A., Acıbadem Kozyatağı Hospital, Kozyatagi, Turkey; [Özgencil] G. Enver, Ankara Üniversitesi, Ankara, Turkey; [Kizilkaya] Mehmet, Ankara Üniversitesi, Ankara, Turkey; [Boşnak] Mehmet, Atatürk Üniversitesi, Erzurum, Erzurum, Turkey; [Bodur] Hakan Alp, Dicle Üniversitesi, Diyarbakir, Diyarbakir, Turkey; [Akan] Mert, Dokuz Eylül Üniversitesi, Izmir, Turkey; [Güven] Muhammet, School of Medicine, Dokuz Eylül Üniversitesi, Izmir, Turkey; [Türkoǧlu] Melda Aybar, Erciyes Üniversitesi, Kayseri, Kayseri, Turkey; [Topeli] Arzu, Gazi Üniversitesi, Ankara, Ankara, Turkey; [Toǧal] Tǔrkan, Hacettepe Üniversitesi, Ankara, Turkey; [Uzel] Nedret, Inönü Üniversitesi, Malatya, Turkey; [Akıncı] İbrahim, İstanbul Tıp Fakültesi, Istanbul, Turkey; [Çakar] Nahit, İstanbul Tıp Fakültesi, Istanbul, Turkey; [Tuğrul] Simru, İstanbul Tıp Fakültesi, Istanbul, Turkey; [Demirkiran] Oktay, İstanbul Tıp Fakültesi, Istanbul, Turkey; [Adanir] T., İstanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, Istanbul, Turkey; [Dogruer] K., Izmir Atatürk Education and Training Hospital, Izmir, Turkey; [Turkmen] A., Memorial Hospital, Ankara, Ankara, Turkey; [Guven] H., Okmeydani Teaching Hospital, Okmeydani, Istanbul, Turkey; [Ülger] Fatma Esra Bahadır, Okmeydani Teaching Hospital, Okmeydani, Istanbul, Turkey; [Koçak] Sedat, Faculty of Medicine, Ondokuz Mayis Üniversitesi, Samsun, Turkey; [null] null, Selçuk Üniversitesi, Selçuklu, Konya, Turkeyen_US
dc.description.abstractBackground: Antimicrobial resistance is an increasing concern in ICUs worldwide. Infection with an antibiotic resistant (ABR) strain of an organism is associated with greater mortality than infection with the non-resistant strain, but there are few data assessing whether being admitted to an intensive care unit (ICU) with high levels of antimicrobial resistance is associated with a worse outcome than being admitted to an ICU with low rates of resistance. The aim of this study was, therefore, to compare the characteristics of infections and antibiotic treatments and patient outcomes in patients admitted to ICUs in countries considered as having high levels of antibiotic resistance and those admitted to ICUs in countries considered as having low levels of antibiotic resistance.Methods: Data from the large, international EPIC II one-day point prevalence study on infections in patients hospitalized in ICUs were used. For the current study, we compared the data obtained from patients from two groups of countries: countries with reported MRSA rates of ≥ 25% (highABR: Greece, Israel, Italy, Malta, Portugal, Spain, and Turkey) and countries with MRSA rates of < 5% (lowABR: Denmark, Finland, Netherlands, Norway, and Sweden).Results: On the study day, 1187/2204 (53.9%) patients in the HighABR ICUs were infected and 255/558 (45.7%) in the LowABR ICUs (P < 0.01). Patients in the HighABR ICUs were more severely ill than those in the LowABR ICUs, as reflected by a higher SAPS II score (35.6 vs 32.7, P < 0.05) and had longer median ICU (12 days vs 5 days) and hospital (24 days vs 16 days) lengths of stay. They also had higher crude ICU (20.0% vs 15.4%) and hospital (27.0% vs 21.5%) mortality rates (both P < 0.05). However, after multivariable adjustment and matched pair analysis there were no differences in ICU or hospital mortality rates between High or LowABR ICU patients overall or among those with infections.Conclusions: Being hospitalized in an ICU in a region with high levels of antimicrobial resistance is not associated per se with a worse outcome. © 2014 Hanberger et al.; licensee BioMed Central Ltd.en_US
dc.identifier.doi10.1186/1471-2334-14-513
dc.identifier.issn1471-2334
dc.identifier.issue1en_US
dc.identifier.pmid25245620
dc.identifier.scopus2-s2.0-84907573938
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1186/1471-2334-14-513
dc.identifier.volume14en_US
dc.identifier.wosqualityQ2
dc.language.isoenen_US
dc.publisherBioMed Central Ltden_US
dc.relation.ispartofBMC Infectious Diseasesen_US
dc.relation.journalBMC Infectious Diseasesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAntibioticen_US
dc.subjectCritically Illen_US
dc.subjectInfectionen_US
dc.subjectResistanceen_US
dc.titleInfections, Antibiotic Treatment and Mortality in Patients Admitted to ICUs in Countries Considered to Have High Levels of Antibiotic Resistance Compared to Those with Low Levelsen_US
dc.typeArticleen_US
dspace.entity.typePublication

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