The health and economic burden of bloodstream infections caused by antimicrobial-susceptible and non-susceptible Enterobacteriaceae and Staphylococcus aureus in European hospitals, 2010 and 2011: a multicentre retrospective cohort study
Identifieur interne : 001575 ( Main/Exploration ); précédent : 001574; suivant : 001576The health and economic burden of bloodstream infections caused by antimicrobial-susceptible and non-susceptible Enterobacteriaceae and Staphylococcus aureus in European hospitals, 2010 and 2011: a multicentre retrospective cohort study
Auteurs : Andrew J. Stewardson [Suisse, Australie] ; Arthur Allignol [Allemagne] ; Jan Beyersmann [Allemagne] ; Nicholas Graves [Australie] ; Martin Schumacher [Allemagne] ; Rodolphe Meyer [Suisse] ; Evelina Tacconelli [Italie, Allemagne] ; Giulia De Angelis [Italie] ; Claudio Farina [Italie] ; Fabio Pezzoli [Italie] ; Xavier Bertrand [France] ; Houssein Gbaguidi-Haore [France] ; Jonathan Edgeworth [Royaume-Uni] ; Olga Tosas [Royaume-Uni] ; Jose A. Martinez [Espagne] ; M Pilar Ayala-Blanco [Espagne] ; Angelo Pan [Italie] ; Alessia Zoncada [Italie] ; Charis A. Marwick [Royaume-Uni] ; Dilip Nathwani [Royaume-Uni] ; Harald Seifert [Allemagne] ; Nina Hos [Allemagne] ; Stefan Hagel [Allemagne] ; Mathias Pletz [Allemagne] ; Stephan Harbarth [Suisse]Source :
- Eurosurveillance [ 1025-496X ] ; 2016.
Abstract
We performed a multicentre retrospective cohort study including 606,649 acute inpatient episodes at 10 European hospitals in 2010 and 2011 to estimate the impact of antimicrobial resistance on hospital mortality, excess length of stay (LOS) and cost. Bloodstream infections (BSI) caused by third-generation cephalosporin-resistant Enterobacteriaceae (3GCRE), meticillin-susceptible (MSSA) and -resistant
Url:
DOI: 10.2807/1560-7917.ES.2016.21.33.30319
PubMed: 27562950
PubMed Central: 4998424
Affiliations:
- Allemagne, Australie, Espagne, France, Italie, Royaume-Uni, Suisse
- Angleterre, Bade-Wurtemberg, Bourgogne-Franche-Comté, Catalogne, District de Fribourg-en-Brisgau, District de Tübingen, Franche-Comté, Grand Londres, Latium, Victoria (État)
- Barcelone, Besançon, Fribourg-en-Brisgau, Londres, Melbourne, Rome, Tübingen, Ulm
- Université de Melbourne
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Xavier" sort="Bertrand, Xavier" uniqKey="Bertrand X" first="Xavier" last="Bertrand">Xavier Bertrand</name><affiliation wicri:level="3"><nlm:aff id="aff10">Centre hospitalier régional et universitaire (CHRU) Besançon, Besançon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre hospitalier régional et universitaire (CHRU) Besançon, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation></author><author><name sortKey="Gbaguidi Haore, Houssein" sort="Gbaguidi Haore, Houssein" uniqKey="Gbaguidi Haore H" first="Houssein" last="Gbaguidi-Haore">Houssein Gbaguidi-Haore</name><affiliation wicri:level="3"><nlm:aff id="aff10">Centre hospitalier régional et universitaire (CHRU) Besançon, Besançon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre hospitalier régional et universitaire (CHRU) Besançon, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation></author><author><name sortKey="Edgeworth, Jonathan" sort="Edgeworth, Jonathan" uniqKey="Edgeworth J" first="Jonathan" last="Edgeworth">Jonathan Edgeworth</name><affiliation wicri:level="3"><nlm:aff id="aff11">Department of Infectious Diseases, Kings College London, London, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infectious Diseases, Kings College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Tosas, Olga" sort="Tosas, Olga" uniqKey="Tosas O" first="Olga" last="Tosas">Olga Tosas</name><affiliation wicri:level="3"><nlm:aff id="aff11">Department of Infectious Diseases, Kings College London, London, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infectious Diseases, Kings College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Martinez, Jose A" sort="Martinez, Jose A" uniqKey="Martinez J" first="Jose A" last="Martinez">Jose A. Martinez</name><affiliation wicri:level="3"><nlm:aff id="aff12">Hospital Clinic de Barcelona, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Clinic de Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Ayala Blanco, M Pilar" sort="Ayala Blanco, M Pilar" uniqKey="Ayala Blanco M" first="M Pilar" last="Ayala-Blanco">M Pilar Ayala-Blanco</name><affiliation wicri:level="3"><nlm:aff id="aff12">Hospital Clinic de Barcelona, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Clinic de Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Pan, Angelo" sort="Pan, Angelo" uniqKey="Pan A" first="Angelo" last="Pan">Angelo Pan</name><affiliation wicri:level="1"><nlm:aff id="aff13">Istituti Ospitalieri di Cremona, Cremona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Istituti Ospitalieri di Cremona, Cremona</wicri:regionArea><wicri:noRegion>Cremona</wicri:noRegion></affiliation></author><author><name sortKey="Zoncada, Alessia" sort="Zoncada, Alessia" uniqKey="Zoncada A" first="Alessia" last="Zoncada">Alessia Zoncada</name><affiliation wicri:level="1"><nlm:aff id="aff13">Istituti Ospitalieri di Cremona, Cremona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Istituti Ospitalieri di Cremona, Cremona</wicri:regionArea><wicri:noRegion>Cremona</wicri:noRegion></affiliation></author><author><name sortKey="Marwick, Charis A" sort="Marwick, Charis A" uniqKey="Marwick C" first="Charis A" last="Marwick">Charis A. Marwick</name><affiliation wicri:level="1"><nlm:aff id="aff14">Department of Infection and Immunodeficiency, Ninewells Hospital and Medical School, Dundee, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infection and Immunodeficiency, Ninewells Hospital and Medical School, Dundee</wicri:regionArea><wicri:noRegion>Dundee</wicri:noRegion></affiliation></author><author><name sortKey="Nathwani, Dilip" sort="Nathwani, Dilip" uniqKey="Nathwani D" first="Dilip" last="Nathwani">Dilip Nathwani</name><affiliation wicri:level="1"><nlm:aff id="aff14">Department of Infection and Immunodeficiency, Ninewells Hospital and Medical School, Dundee, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infection and Immunodeficiency, Ninewells Hospital and Medical School, Dundee</wicri:regionArea><wicri:noRegion>Dundee</wicri:noRegion></affiliation></author><author><name sortKey="Seifert, Harald" sort="Seifert, Harald" uniqKey="Seifert H" first="Harald" last="Seifert">Harald Seifert</name><affiliation wicri:level="1"><nlm:aff id="aff15">Uniklinik Köln, Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Uniklinik Köln, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff16">German Centre for Infection Research (DZIF), Braunschweig, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>German Centre for Infection Research (DZIF), Braunschweig</wicri:regionArea><wicri:noRegion>Braunschweig</wicri:noRegion><wicri:noRegion>Braunschweig</wicri:noRegion><wicri:noRegion>Braunschweig</wicri:noRegion></affiliation></author><author><name sortKey="Hos, Nina" sort="Hos, Nina" uniqKey="Hos N" first="Nina" last="Hos">Nina Hos</name><affiliation wicri:level="1"><nlm:aff id="aff15">Uniklinik Köln, Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Uniklinik Köln, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation></author><author><name sortKey="Hagel, Stefan" sort="Hagel, Stefan" uniqKey="Hagel S" first="Stefan" last="Hagel">Stefan Hagel</name><affiliation wicri:level="1"><nlm:aff id="aff17">Center for Infectious Diseases and Infection Control, University Hospital Jena, Jena, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center for Infectious Diseases and Infection Control, University Hospital Jena, Jena</wicri:regionArea><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion></affiliation></author><author><name sortKey="Pletz, Mathias" sort="Pletz, Mathias" uniqKey="Pletz M" first="Mathias" last="Pletz">Mathias Pletz</name><affiliation wicri:level="1"><nlm:aff id="aff17">Center for Infectious Diseases and Infection Control, University Hospital Jena, Jena, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center for Infectious Diseases and Infection Control, University Hospital Jena, Jena</wicri:regionArea><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion></affiliation></author><author><name sortKey="Harbarth, Stephan" sort="Harbarth, Stephan" uniqKey="Harbarth S" first="Stephan" last="Harbarth">Stephan Harbarth</name><affiliation wicri:level="1"><nlm:aff id="aff1">Infection Control Program, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Infection Control Program, University of Geneva Hospitals and Faculty of Medicine, Geneva</wicri:regionArea><wicri:noRegion>Geneva</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27562950</idno><idno type="pmc">4998424</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4998424</idno><idno type="RBID">PMC:4998424</idno><idno type="doi">10.2807/1560-7917.ES.2016.21.33.30319</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002474</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002474</idno><idno type="wicri:Area/Pmc/Curation">002324</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002324</idno><idno type="wicri:Area/Pmc/Checkpoint">000537</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000537</idno><idno type="wicri:Area/Ncbi/Merge">003A44</idno><idno type="wicri:Area/Ncbi/Curation">003A44</idno><idno type="wicri:Area/Ncbi/Checkpoint">003A44</idno><idno 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Stewardson</name><affiliation wicri:level="1"><nlm:aff id="aff1">Infection Control Program, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Infection Control Program, University of Geneva Hospitals and Faculty of Medicine, Geneva</wicri:regionArea><wicri:noRegion>Geneva</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2">Department of Medicine, University of Melbourne, Melbourne, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Medicine, University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region><settlement type="city">Melbourne</settlement></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Allignol, Arthur" sort="Allignol, Arthur" uniqKey="Allignol A" first="Arthur" last="Allignol">Arthur Allignol</name><affiliation wicri:level="3"><nlm:aff id="aff3">Institute of Statistics, Ulm University, Ulm, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Statistics, Ulm University, Ulm</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Ulm</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff4">Institute of Medical Biometry and Medical Informatics, University Medical Center Freiburg, Freiburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Biometry and Medical Informatics, University Medical Center Freiburg, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Beyersmann, Jan" sort="Beyersmann, Jan" uniqKey="Beyersmann J" first="Jan" last="Beyersmann">Jan Beyersmann</name><affiliation wicri:level="3"><nlm:aff id="aff3">Institute of Statistics, Ulm University, Ulm, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Statistics, Ulm University, Ulm</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Ulm</settlement></placeName></affiliation></author><author><name sortKey="Graves, Nicholas" sort="Graves, Nicholas" uniqKey="Graves N" first="Nicholas" last="Graves">Nicholas Graves</name><affiliation wicri:level="1"><nlm:aff id="aff5">Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Schumacher, Martin" sort="Schumacher, Martin" uniqKey="Schumacher M" first="Martin" last="Schumacher">Martin Schumacher</name><affiliation wicri:level="3"><nlm:aff id="aff4">Institute of Medical Biometry and Medical Informatics, University Medical Center Freiburg, Freiburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Biometry and Medical Informatics, University Medical Center Freiburg, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Meyer, Rodolphe" sort="Meyer, Rodolphe" uniqKey="Meyer R" first="Rodolphe" last="Meyer">Rodolphe Meyer</name><affiliation wicri:level="1"><nlm:aff id="aff6">Information Technology, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Information Technology, University of Geneva Hospitals and Faculty of Medicine, Geneva</wicri:regionArea><wicri:noRegion>Geneva</wicri:noRegion></affiliation></author><author><name sortKey="Tacconelli, Evelina" sort="Tacconelli, Evelina" uniqKey="Tacconelli E" first="Evelina" last="Tacconelli">Evelina Tacconelli</name><affiliation wicri:level="3"><nlm:aff id="aff7">Division of Infectious Diseases, Agostino Gemelli Hospital, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Infectious Diseases, Agostino Gemelli Hospital, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff8">Division of Infectious Diseases, DZIF TTU-HAARBI, University Hospital Tübingen, Tübingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Infectious Diseases, DZIF TTU-HAARBI, University Hospital Tübingen, Tübingen</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="De Angelis, Giulia" sort="De Angelis, Giulia" uniqKey="De Angelis G" first="Giulia" last="De Angelis">Giulia De Angelis</name><affiliation wicri:level="3"><nlm:aff id="aff7">Division of Infectious Diseases, Agostino Gemelli Hospital, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Infectious Diseases, Agostino Gemelli Hospital, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Farina, Claudio" sort="Farina, Claudio" uniqKey="Farina C" first="Claudio" last="Farina">Claudio Farina</name><affiliation wicri:level="1"><nlm:aff id="aff9">Papa Giovanni XXIII Hospital, Bergamo, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Papa Giovanni XXIII Hospital, Bergamo</wicri:regionArea><wicri:noRegion>Bergamo</wicri:noRegion></affiliation></author><author><name sortKey="Pezzoli, Fabio" sort="Pezzoli, Fabio" uniqKey="Pezzoli F" first="Fabio" last="Pezzoli">Fabio Pezzoli</name><affiliation wicri:level="1"><nlm:aff id="aff9">Papa Giovanni XXIII Hospital, Bergamo, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Papa Giovanni XXIII Hospital, Bergamo</wicri:regionArea><wicri:noRegion>Bergamo</wicri:noRegion></affiliation></author><author><name sortKey="Bertrand, Xavier" sort="Bertrand, Xavier" uniqKey="Bertrand X" first="Xavier" last="Bertrand">Xavier Bertrand</name><affiliation wicri:level="3"><nlm:aff id="aff10">Centre hospitalier régional et universitaire (CHRU) Besançon, Besançon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre hospitalier régional et universitaire (CHRU) Besançon, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation></author><author><name sortKey="Gbaguidi Haore, Houssein" sort="Gbaguidi Haore, Houssein" uniqKey="Gbaguidi Haore H" first="Houssein" last="Gbaguidi-Haore">Houssein Gbaguidi-Haore</name><affiliation wicri:level="3"><nlm:aff id="aff10">Centre hospitalier régional et universitaire (CHRU) Besançon, Besançon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre hospitalier régional et universitaire (CHRU) Besançon, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation></author><author><name sortKey="Edgeworth, Jonathan" sort="Edgeworth, Jonathan" uniqKey="Edgeworth J" first="Jonathan" last="Edgeworth">Jonathan Edgeworth</name><affiliation wicri:level="3"><nlm:aff id="aff11">Department of Infectious Diseases, Kings College London, London, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infectious Diseases, Kings College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Tosas, Olga" sort="Tosas, Olga" uniqKey="Tosas O" first="Olga" last="Tosas">Olga Tosas</name><affiliation wicri:level="3"><nlm:aff id="aff11">Department of Infectious Diseases, Kings College London, London, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infectious Diseases, Kings College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Martinez, Jose A" sort="Martinez, Jose A" uniqKey="Martinez J" first="Jose A" last="Martinez">Jose A. Martinez</name><affiliation wicri:level="3"><nlm:aff id="aff12">Hospital Clinic de Barcelona, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Clinic de Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Ayala Blanco, M Pilar" sort="Ayala Blanco, M Pilar" uniqKey="Ayala Blanco M" first="M Pilar" last="Ayala-Blanco">M Pilar Ayala-Blanco</name><affiliation wicri:level="3"><nlm:aff id="aff12">Hospital Clinic de Barcelona, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Clinic de Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Pan, Angelo" sort="Pan, Angelo" uniqKey="Pan A" first="Angelo" last="Pan">Angelo Pan</name><affiliation wicri:level="1"><nlm:aff id="aff13">Istituti Ospitalieri di Cremona, Cremona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Istituti Ospitalieri di Cremona, Cremona</wicri:regionArea><wicri:noRegion>Cremona</wicri:noRegion></affiliation></author><author><name sortKey="Zoncada, Alessia" sort="Zoncada, Alessia" uniqKey="Zoncada A" first="Alessia" last="Zoncada">Alessia Zoncada</name><affiliation wicri:level="1"><nlm:aff id="aff13">Istituti Ospitalieri di Cremona, Cremona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Istituti Ospitalieri di Cremona, Cremona</wicri:regionArea><wicri:noRegion>Cremona</wicri:noRegion></affiliation></author><author><name sortKey="Marwick, Charis A" sort="Marwick, Charis A" uniqKey="Marwick C" first="Charis A" last="Marwick">Charis A. Marwick</name><affiliation wicri:level="1"><nlm:aff id="aff14">Department of Infection and Immunodeficiency, Ninewells Hospital and Medical School, Dundee, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infection and Immunodeficiency, Ninewells Hospital and Medical School, Dundee</wicri:regionArea><wicri:noRegion>Dundee</wicri:noRegion></affiliation></author><author><name sortKey="Nathwani, Dilip" sort="Nathwani, Dilip" uniqKey="Nathwani D" first="Dilip" last="Nathwani">Dilip Nathwani</name><affiliation wicri:level="1"><nlm:aff id="aff14">Department of Infection and Immunodeficiency, Ninewells Hospital and Medical School, Dundee, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infection and Immunodeficiency, Ninewells Hospital and Medical School, Dundee</wicri:regionArea><wicri:noRegion>Dundee</wicri:noRegion></affiliation></author><author><name sortKey="Seifert, Harald" sort="Seifert, Harald" uniqKey="Seifert H" first="Harald" last="Seifert">Harald Seifert</name><affiliation wicri:level="1"><nlm:aff id="aff15">Uniklinik Köln, Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Uniklinik Köln, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff16">German Centre for Infection Research (DZIF), Braunschweig, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>German Centre for Infection Research (DZIF), Braunschweig</wicri:regionArea><wicri:noRegion>Braunschweig</wicri:noRegion><wicri:noRegion>Braunschweig</wicri:noRegion><wicri:noRegion>Braunschweig</wicri:noRegion></affiliation></author><author><name sortKey="Hos, Nina" sort="Hos, Nina" uniqKey="Hos N" first="Nina" last="Hos">Nina Hos</name><affiliation wicri:level="1"><nlm:aff id="aff15">Uniklinik Köln, Cologne, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Uniklinik Köln, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation></author><author><name sortKey="Hagel, Stefan" sort="Hagel, Stefan" uniqKey="Hagel S" first="Stefan" last="Hagel">Stefan Hagel</name><affiliation wicri:level="1"><nlm:aff id="aff17">Center for Infectious Diseases and Infection Control, University Hospital Jena, Jena, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center for Infectious Diseases and Infection Control, University Hospital Jena, Jena</wicri:regionArea><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion></affiliation></author><author><name sortKey="Pletz, Mathias" sort="Pletz, Mathias" uniqKey="Pletz M" first="Mathias" last="Pletz">Mathias Pletz</name><affiliation wicri:level="1"><nlm:aff id="aff17">Center for Infectious Diseases and Infection Control, University Hospital Jena, Jena, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center for Infectious Diseases and Infection Control, University Hospital Jena, Jena</wicri:regionArea><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion></affiliation></author><author><name sortKey="Harbarth, Stephan" sort="Harbarth, Stephan" uniqKey="Harbarth S" first="Stephan" last="Harbarth">Stephan Harbarth</name><affiliation wicri:level="1"><nlm:aff id="aff1">Infection Control Program, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Infection Control Program, University of Geneva Hospitals and Faculty of Medicine, Geneva</wicri:regionArea><wicri:noRegion>Geneva</wicri:noRegion></affiliation></author></analytic><series><title level="j">Eurosurveillance</title><idno type="ISSN">1025-496X</idno><idno type="eISSN">1560-7917</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>We performed a multicentre retrospective cohort study including 606,649 acute inpatient episodes at 10 European hospitals in 2010 and 2011 to estimate the impact of antimicrobial resistance on hospital mortality, excess length of stay (LOS) and cost. Bloodstream infections (BSI) caused by third-generation cephalosporin-resistant Enterobacteriaceae (3GCRE), meticillin-susceptible (MSSA) and -resistant <italic>Staphylococcus aureus</italic> (MRSA) increased the daily risk of hospital death (adjusted hazard ratio (HR) = 1.80; 95% confidence interval (CI): 1.34–2.42, HR = 1.81; 95% CI: 1.49–2.20 and HR = 2.42; 95% CI: 1.66–3.51, respectively) and prolonged LOS (9.3 days; 95% CI: 9.2–9.4, 11.5 days; 95% CI: 11.5–11.6 and 13.3 days; 95% CI: 13.2–13.4, respectively). BSI with third-generation cephalosporin-susceptible Enterobacteriaceae (3GCSE) significantly increased LOS (5.9 days; 95% CI: 5.8–5.9) but not hazard of death (1.16; 95% CI: 0.98–1.36). 3GCRE significantly increased the hazard of death (1.63; 95% CI: 1.13–2.35), excess LOS (4.9 days; 95% CI: 1.1–8.7) and cost compared with susceptible strains, whereas meticillin resistance did not. The annual cost of 3GCRE BSI was higher than of MRSA BSI. While BSI with <italic>S. aureus</italic> had greater impact on mortality, excess LOS and cost than Enterobacteriaceae per infection, the impact of antimicrobial resistance was greater for Enterobacteriaceae.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Laxminarayan, R" uniqKey="Laxminarayan R">R Laxminarayan</name></author><author><name sortKey="Duse, A" uniqKey="Duse A">A Duse</name></author><author><name sortKey="Wattal, C" uniqKey="Wattal C">C Wattal</name></author><author><name sortKey="Zaidi, Ak" uniqKey="Zaidi A">AK Zaidi</name></author><author><name sortKey="Wertheim, Hf" uniqKey="Wertheim H">HF Wertheim</name></author><author><name sortKey="Sumpradit, N" uniqKey="Sumpradit N">N Sumpradit</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beyersmann, J" uniqKey="Beyersmann J">J Beyersmann</name></author><author><name sortKey="Wolkewitz, 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Leibovici</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smith, R" uniqKey="Smith R">R Smith</name></author><author><name sortKey="Coast, J" uniqKey="Coast J">J Coast</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="De Kraker, Me" uniqKey="De Kraker M">ME de Kraker</name></author><author><name sortKey="Jarlier, V" uniqKey="Jarlier V">V Jarlier</name></author><author><name sortKey="Monen, Jc" uniqKey="Monen J">JC Monen</name></author><author><name sortKey="Heuer, Oe" uniqKey="Heuer O">OE Heuer</name></author><author><name sortKey="Van De Sande, N" uniqKey="Van De Sande N">N van de Sande</name></author><author><name sortKey="Grundmann, H" uniqKey="Grundmann H">H Grundmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ammerlaan, Hs" uniqKey="Ammerlaan H">HS Ammerlaan</name></author><author><name sortKey="Harbarth, S" uniqKey="Harbarth S">S Harbarth</name></author><author><name sortKey="Buiting, Ag" uniqKey="Buiting A">AG Buiting</name></author><author><name sortKey="Crook, Dw" uniqKey="Crook D">DW Crook</name></author><author><name sortKey="Fitzpatrick, F" uniqKey="Fitzpatrick F">F Fitzpatrick</name></author><author><name sortKey="Hanberger, H" uniqKey="Hanberger H">H Hanberger</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Espagne</li><li>France</li><li>Italie</li><li>Royaume-Uni</li><li>Suisse</li></country><region><li>Angleterre</li><li>Bade-Wurtemberg</li><li>Bourgogne-Franche-Comté</li><li>Catalogne</li><li>District de Fribourg-en-Brisgau</li><li>District de Tübingen</li><li>Franche-Comté</li><li>Grand Londres</li><li>Latium</li><li>Victoria (État)</li></region><settlement><li>Barcelone</li><li>Besançon</li><li>Fribourg-en-Brisgau</li><li>Londres</li><li>Melbourne</li><li>Rome</li><li>Tübingen</li><li>Ulm</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><country name="Suisse"><noRegion><name sortKey="Stewardson, Andrew J" sort="Stewardson, Andrew J" uniqKey="Stewardson A" first="Andrew J" last="Stewardson">Andrew J. Stewardson</name></noRegion><name sortKey="Harbarth, Stephan" sort="Harbarth, Stephan" uniqKey="Harbarth S" first="Stephan" last="Harbarth">Stephan Harbarth</name><name sortKey="Meyer, Rodolphe" sort="Meyer, Rodolphe" uniqKey="Meyer R" first="Rodolphe" last="Meyer">Rodolphe Meyer</name></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Stewardson, Andrew J" sort="Stewardson, Andrew J" uniqKey="Stewardson A" first="Andrew J" last="Stewardson">Andrew J. Stewardson</name></region><name sortKey="Graves, Nicholas" sort="Graves, Nicholas" uniqKey="Graves N" first="Nicholas" last="Graves">Nicholas Graves</name></country><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Allignol, Arthur" sort="Allignol, Arthur" uniqKey="Allignol A" first="Arthur" last="Allignol">Arthur Allignol</name></region><name sortKey="Allignol, Arthur" sort="Allignol, Arthur" uniqKey="Allignol A" first="Arthur" last="Allignol">Arthur Allignol</name><name sortKey="Beyersmann, Jan" sort="Beyersmann, Jan" uniqKey="Beyersmann J" first="Jan" last="Beyersmann">Jan Beyersmann</name><name sortKey="Hagel, Stefan" sort="Hagel, Stefan" uniqKey="Hagel S" first="Stefan" last="Hagel">Stefan Hagel</name><name sortKey="Hos, Nina" sort="Hos, Nina" uniqKey="Hos N" first="Nina" last="Hos">Nina Hos</name><name sortKey="Pletz, Mathias" sort="Pletz, Mathias" uniqKey="Pletz M" first="Mathias" last="Pletz">Mathias Pletz</name><name sortKey="Schumacher, Martin" sort="Schumacher, Martin" uniqKey="Schumacher M" first="Martin" last="Schumacher">Martin Schumacher</name><name sortKey="Seifert, Harald" sort="Seifert, Harald" uniqKey="Seifert H" first="Harald" last="Seifert">Harald Seifert</name><name sortKey="Seifert, Harald" sort="Seifert, Harald" uniqKey="Seifert H" first="Harald" last="Seifert">Harald Seifert</name><name sortKey="Tacconelli, Evelina" sort="Tacconelli, Evelina" uniqKey="Tacconelli E" first="Evelina" last="Tacconelli">Evelina Tacconelli</name></country><country name="Italie"><region name="Latium"><name sortKey="Tacconelli, Evelina" sort="Tacconelli, Evelina" uniqKey="Tacconelli E" first="Evelina" last="Tacconelli">Evelina Tacconelli</name></region><name sortKey="De Angelis, Giulia" sort="De Angelis, Giulia" uniqKey="De Angelis G" first="Giulia" last="De Angelis">Giulia De Angelis</name><name sortKey="Farina, Claudio" sort="Farina, Claudio" uniqKey="Farina C" first="Claudio" last="Farina">Claudio Farina</name><name sortKey="Pan, Angelo" sort="Pan, Angelo" uniqKey="Pan A" first="Angelo" last="Pan">Angelo Pan</name><name sortKey="Pezzoli, Fabio" sort="Pezzoli, Fabio" uniqKey="Pezzoli F" first="Fabio" last="Pezzoli">Fabio Pezzoli</name><name sortKey="Zoncada, Alessia" sort="Zoncada, Alessia" uniqKey="Zoncada A" first="Alessia" last="Zoncada">Alessia Zoncada</name></country><country name="France"><region name="Bourgogne-Franche-Comté"><name sortKey="Bertrand, Xavier" sort="Bertrand, Xavier" uniqKey="Bertrand X" first="Xavier" last="Bertrand">Xavier Bertrand</name></region><name sortKey="Gbaguidi Haore, Houssein" sort="Gbaguidi Haore, Houssein" uniqKey="Gbaguidi Haore H" first="Houssein" last="Gbaguidi-Haore">Houssein Gbaguidi-Haore</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Edgeworth, Jonathan" sort="Edgeworth, Jonathan" uniqKey="Edgeworth J" first="Jonathan" last="Edgeworth">Jonathan Edgeworth</name></region><name sortKey="Marwick, Charis A" sort="Marwick, Charis A" uniqKey="Marwick C" first="Charis A" last="Marwick">Charis A. Marwick</name><name sortKey="Nathwani, Dilip" sort="Nathwani, Dilip" uniqKey="Nathwani D" first="Dilip" last="Nathwani">Dilip Nathwani</name><name sortKey="Tosas, Olga" sort="Tosas, Olga" uniqKey="Tosas O" first="Olga" last="Tosas">Olga Tosas</name></country><country name="Espagne"><region name="Catalogne"><name sortKey="Martinez, Jose A" sort="Martinez, Jose A" uniqKey="Martinez J" first="Jose A" last="Martinez">Jose A. Martinez</name></region><name sortKey="Ayala Blanco, M Pilar" sort="Ayala Blanco, M Pilar" uniqKey="Ayala Blanco M" first="M Pilar" last="Ayala-Blanco">M Pilar Ayala-Blanco</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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