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dc.contributor.authorSlavova-Azmanova, N.
dc.contributor.authorHaddow, L.
dc.contributor.authorHohnen, H.
dc.contributor.authorCoombs, Geoffrey
dc.contributor.authorRobinson, J.
dc.contributor.authorIves, A.
dc.identifier.citationSlavova-Azmanova, N. and Haddow, L. and Hohnen, H. and Coombs, G. and Robinson, J. and Ives, A. 2017. Admissions for antibiotic-resistant infections in cancer patients during first year of cancer diagnosis: a cross-sectional study. Internal Medicine Journal. 47 (11): pp. 1306-1310.

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.

dc.publisherBlackwell Publishing
dc.titleAdmissions for antibiotic-resistant infections in cancer patients during first year of cancer diagnosis: a cross-sectional study
dc.typeJournal Article
dcterms.source.titleInternal Medicine Journal
curtin.departmentSchool of Pharmacy and Biomedical Sciences
curtin.accessStatusFulltext not available

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