Epidemiology and burden of multidrug-resistant bacterial infection in a developing country
- Mahidol University, Thailand
- Ministry of Public Health, Thailand
- Cited 39
- Views 2,920
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Abstract
Little is known about the excess mortality caused by multidrug-resistant (MDR) bacterial infection in low- and middle-income countries (LMICs). We retrospectively obtained microbiology laboratory and hospital databases of nine public hospitals in northeast Thailand from 2004 to 2010, and linked these with the national death registry to obtain the 30-day mortality outcome. The 30-day mortality in those with MDR community-acquired bacteraemia, healthcare-associated bacteraemia, and hospital-acquired bacteraemia were 35% (549/1,555), 49% (247/500), and 53% (640/1,198), respectively. We estimate that 19,122 of 45,209 (43%) deaths in patients with hospital-acquired infection due to MDR bacteria in Thailand in 2010 represented excess mortality caused by MDR. We demonstrate that national statistics on epidemiology and burden of MDR in LMICs could be improved by integrating information from readily available databases. The prevalence and mortality attributable to MDR in Thailand are high. This is likely to reflect the situation in other LMICs.
Article and author information
Author details
Direk Limmathurotsakul
Funding
Ministry of Public Health
- Direk Limmathurotsakul
Wellcome (100484/Z/12/Z)
- Nicholas PJ Day
- Direk Limmathurotsakul
Wellcome (100484/Z/12/Z)
- Cherry Lim
Wellcome (101103/Z/13/Z)
- Direk Limmathurotsakul
The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.
Reviewing Editor
- Quarraisha Abdool Karim, University of KwaZulu Natal, South Africa
Publication history
- Received: May 23, 2016
- Accepted: August 24, 2016
- Accepted Manuscript published: September 6, 2016 (version 1)
- Version of Record published: September 20, 2016 (version 2)
Copyright
© 2016, Lim et al.
This article is distributed under the terms of the Creative Commons Attribution License permitting unrestricted use and redistribution provided that the original author and source are credited.
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Further reading
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- Epidemiology and Global Health
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- Epidemiology and Global Health
