Pseudomonas aeruginosa bloodstream infections in internal medicine wards: A large Italian multicenter retrospective study
PA-BSI in IMWs is characterized by a relatively low incidence of septic shock and rate of resistance, alongside high rates of appropriate empiric therapy. Despite these favorable factors, meropenem may represent a valuable therapeutic option for PA-BSI with severe presentations in this setting since mortality remains substantial (22.5%). Our findings underscore the critical importance of early source control and identify septic shock as a key predictor of mortality even in the setting of IMW. The proposed bedside nomogram model could empower clinicians to identify high-risk patients early, facilitating timely interventions and improving outcomes in this vulnerable population.
Authors
- Vincenzo Scaglione (ORCID: https://orcid.org/0000-0002-2911-2255)
- Eleonora Taddei (ORCID: https://orcid.org/0000-0002-5983-4291)
- Maura Sanino
- Małgorzata Mikulska (ORCID: https://orcid.org/0000-0002-5535-4602)
- Nicholas Geremia (ORCID: https://orcid.org/0000-0001-7988-5419)
- Emanuele Pivetta (ORCID: https://orcid.org/0000-0003-1446-1169)
- Renato Pascale (ORCID: https://orcid.org/0000-0003-2687-4235)
- Veronica Vassia (ORCID: https://orcid.org/0000-0002-7097-0710)
- Silvia Corcione (ORCID: https://orcid.org/0000-0003-2949-4297)
- Matteo Bassetti (ORCID: https://orcid.org/0000-0002-0145-9740)
- Davide Fiore Bavaro (ORCID: https://orcid.org/0000-0002-4833-7118)
- Pierluigi Viale (ORCID: https://orcid.org/0000-0003-1264-0008)
- Nour Shbaklo (ORCID: https://orcid.org/0000-0002-0171-9274)
- Simone Mornese Pinna (ORCID: https://orcid.org/0000-0002-0148-1075)
- Maddalena Giannella (ORCID: https://orcid.org/0000-0001-8273-7601)
- Francesco Giuseppe De Rosa (ORCID: https://orcid.org/0000-0001-8338-0130)
- Daniele Roberto Giacobbe (ORCID: https://orcid.org/0000-0003-2385-1759)
- Antonio Vena (ORCID: https://orcid.org/0000-0002-0697-3992)
- Francesca Giovannenze (ORCID: https://orcid.org/0000-0002-6972-6470)
- Michele Bartoletti (ORCID: https://orcid.org/0000-0002-1099-3283)
- Benedetta Fumarola
- Michela Schenone
Institutions
- Tufts University (US)
- AOL (United States) (US)
- Humanitas University (IT)
- University of Padua (IT)
- Agostino Gemelli University Polyclinic (IT)
- IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT)
- Ospedale Civile Di Ivrea (IT)
- Ospedale San Paolo (IT)
- Department of Medical Sciences (BY)
- A. O. Ordine Mauriziano di Torino (IT)
- Ospedale dell' Angelo (IT)
- Ospedale Policlinico San Martino (IT)
- Hospital for Tropical Diseases (VN)
- IRCCS Humanitas Research Hospital (IT)
- University of Turin (IT)
- University of Brescia (IT)
- University of Genoa (IT)
- University of Bologna (IT)
Publication Details
- Journal
- PLoS ONE
- Published
- 2025-05-19
- DOI
- https://doi.org/10.1371/journal.pone.0317540
- Citations
- 2
- Primary Topic
- Antibiotic Use and Resistance
- Type
- article
- Field-Weighted Citation Impact
- 2.52