In:
Internal Medicine Journal, Wiley, Vol. 47, No. 11 ( 2017-11), p. 1306-1310
Abstract:
In this study, linked Western Australian health data were used to determine presence of an antibiotic‐resistant infection ( ABRI ) for all people diagnosed with a primary invasive cancer in 2009. Of 10 858 cancer cases, 154 (1.42%) had an ABRI . Patients with an ABRI were older (71.5 vs 66 years), and more had died in the year following diagnosis (37.7 vs 20.2%, P 〈 0.001). The ABRI cohort had a higher proportion of colorectal, genitourinary and haematological cancers (19.5 vs 11.9%; 14.3 vs 9.7% and 16.9 vs 5.8%, respectively). Hospital admissions with an ABRI were longer (22.3 vs 2.9 days, P 〈 0.001) and had a higher proportion of unplanned admissions (60.3 vs 15.2%), admissions through emergency department (36.8 vs 8.3%) and intensive care admissions (14.9 vs 1.7%, P 〈 0.001). Patients with solid tumours who developed an ABRI were more likely to have received chemotherapy (35.9 vs 27.8%, P = 0.04). In haematological cancer patients, a greater proportion of the admissions with an ABRI occurred after radiation therapy or chemotherapy ( P = 0.01 and P = 0.005, respectively). This study is the first to report population‐level data on ABRI in cancer patients. Patients with an ABRI had more hospital admissions and poorer outcomes.
Type of Medium:
Online Resource
ISSN:
1444-0903
,
1445-5994
DOI:
10.1111/imj.2017.47.issue-11
Language:
English
Publisher:
Wiley
Publication Date:
2017
detail.hit.zdb_id:
2044081-9
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