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Infections in G6PD-Deficient Hospitalized Patients—Prevalence, Risk Factors, and Related Mortality

G6PD deficiency is a genetic disease that weakens the immune system and renders affected individuals susceptible to infections. In the Sultanate of Oman resides a high number of recorded G6PD cases due to widespread consanguineous marriage, which may reach 25% of the population. We studied the infec...

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Autores principales: Alrahmany, Diaa, Omar, Ahmed F., Al-Maqbali, Salima R. S., Harb, Gehan, Ghazi, Islam M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9312035/
https://www.ncbi.nlm.nih.gov/pubmed/35884188
http://dx.doi.org/10.3390/antibiotics11070934
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author Alrahmany, Diaa
Omar, Ahmed F.
Al-Maqbali, Salima R. S.
Harb, Gehan
Ghazi, Islam M.
author_facet Alrahmany, Diaa
Omar, Ahmed F.
Al-Maqbali, Salima R. S.
Harb, Gehan
Ghazi, Islam M.
author_sort Alrahmany, Diaa
collection PubMed
description G6PD deficiency is a genetic disease that weakens the immune system and renders affected individuals susceptible to infections. In the Sultanate of Oman resides a high number of recorded G6PD cases due to widespread consanguineous marriage, which may reach 25% of the population. We studied the infection patterns and risk factors for mortality to provide antimicrobial stewardship recommendations for these patients. After obtaining ethical approval, a registry of recorded cases was consulted retrospectively to include G6PD-deficient adult patients admitted to Suhar hospital over 5 years with microbiologically confirmed infections. Patient demographics, health-related information, infection causes, treatment, and clinical outcomes were studied. Data were analyzed to describe infection patterns and risk factors. Several variables, including underlying comorbidities and hospitalization details, such as length of stay, admission to critical care unit, blood transfusion, or exposure to an invasive procedure, were statistically associated with the acquisition of multidrug-resistant and hospital-acquired infections. Meanwhile, these infections were associated with a high mortality rate (28%), significantly associated with the patient’s health status and earlier exposure to antimicrobial treatment due to previous bacterial infection. The high prevalence of G6PD deficiency among the Omani population should alert practitioners to take early action when dealing with such cases during infection that requires hospitalization. Strict infection control measures, Gram-negative empiric coverage, hospital discharge as early as possible, and potent targeted antimicrobial therapy in this patient population can ameliorate the treatment outcomes and should be emphasized by the antimicrobial stewardship team.
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spelling pubmed-93120352022-07-26 Infections in G6PD-Deficient Hospitalized Patients—Prevalence, Risk Factors, and Related Mortality Alrahmany, Diaa Omar, Ahmed F. Al-Maqbali, Salima R. S. Harb, Gehan Ghazi, Islam M. Antibiotics (Basel) Article G6PD deficiency is a genetic disease that weakens the immune system and renders affected individuals susceptible to infections. In the Sultanate of Oman resides a high number of recorded G6PD cases due to widespread consanguineous marriage, which may reach 25% of the population. We studied the infection patterns and risk factors for mortality to provide antimicrobial stewardship recommendations for these patients. After obtaining ethical approval, a registry of recorded cases was consulted retrospectively to include G6PD-deficient adult patients admitted to Suhar hospital over 5 years with microbiologically confirmed infections. Patient demographics, health-related information, infection causes, treatment, and clinical outcomes were studied. Data were analyzed to describe infection patterns and risk factors. Several variables, including underlying comorbidities and hospitalization details, such as length of stay, admission to critical care unit, blood transfusion, or exposure to an invasive procedure, were statistically associated with the acquisition of multidrug-resistant and hospital-acquired infections. Meanwhile, these infections were associated with a high mortality rate (28%), significantly associated with the patient’s health status and earlier exposure to antimicrobial treatment due to previous bacterial infection. The high prevalence of G6PD deficiency among the Omani population should alert practitioners to take early action when dealing with such cases during infection that requires hospitalization. Strict infection control measures, Gram-negative empiric coverage, hospital discharge as early as possible, and potent targeted antimicrobial therapy in this patient population can ameliorate the treatment outcomes and should be emphasized by the antimicrobial stewardship team. MDPI 2022-07-12 /pmc/articles/PMC9312035/ /pubmed/35884188 http://dx.doi.org/10.3390/antibiotics11070934 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Alrahmany, Diaa
Omar, Ahmed F.
Al-Maqbali, Salima R. S.
Harb, Gehan
Ghazi, Islam M.
Infections in G6PD-Deficient Hospitalized Patients—Prevalence, Risk Factors, and Related Mortality
title Infections in G6PD-Deficient Hospitalized Patients—Prevalence, Risk Factors, and Related Mortality
title_full Infections in G6PD-Deficient Hospitalized Patients—Prevalence, Risk Factors, and Related Mortality
title_fullStr Infections in G6PD-Deficient Hospitalized Patients—Prevalence, Risk Factors, and Related Mortality
title_full_unstemmed Infections in G6PD-Deficient Hospitalized Patients—Prevalence, Risk Factors, and Related Mortality
title_short Infections in G6PD-Deficient Hospitalized Patients—Prevalence, Risk Factors, and Related Mortality
title_sort infections in g6pd-deficient hospitalized patients—prevalence, risk factors, and related mortality
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9312035/
https://www.ncbi.nlm.nih.gov/pubmed/35884188
http://dx.doi.org/10.3390/antibiotics11070934
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