Authors' contributions
DN and KL conceived and designed the study, collected data, conducted the primary analysis and drafted the manuscript. AT and AV contributed to study design, data collection and analysis. JR, DK, GD and J deW contributed to study design and collection of data. JFT participated in study conception and design, collection of data and analysis. All authors contributed to critical revision and approval of the final manuscript.
The EUROBACT Study Investigators (listed by country) are Jeffrey Lipman, Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia; Anne Leditschke, Helen Rodgers, Canberra Hospital Intensive Care Unit, Canberra Hospital, Canberra, Australia; David Milliss, Thomas Gottlieb, Intensive Care Services, Concord Hospital, NSW, Australia; Stuart Baker, Brigit Roberts, ICU, Sir Charles Gairdner Hospital, Perth, Australia; Peter Krafft, Silvia Bernreiter, Intensiv 1b, Hospital Rudolfstiftung, Vienna, Austria; Pieter Depuydt, Intensieve Zorg, Universitair Ziekenhuis Gent, Ghent, Belgium; Philippe Jamaer, ICU A3 and C3, Jessa Hospital, Campus Virga Jesse, Hasselt, Belgium; Hervé Lebbinck, Iz Az Sint Augustinus Veurne, Veurne, Belgium; Frederico Bruzzi De Carvalho, Juliana Pereira, Centro De Terapia Intensiva, Hospital Mater Dei, Belo Horizonte, Brazil; Aline Camille Yehia, Felipe Carrhá Machado, Ana Luiza Horta de sa Carneiro, Cti Hospital, Julia Kubitschek, Belo Horizonte, Brazil; Antonio Fagundes Jr, Unidade De Terapia Intensiva, Hospital Do Coração Do Brasil, Brasília, Brazil; Fernando Rodriguez, Cti Geral, Hospital De Clínicas Niterói, Niterói, Brazil; Marcio Soares, Jorge Salluh, Cti, Instituto Nacional De Cancer, Rio de Janeiro, Brazil; Renata Beranger, ICU, São Lucas Hospital, Rio de Janeiro, Brazil; Marcelo Lugarinho, Cti Do Hospital De Clínicas Mario Lioni, Hospital De Clínicas Mario Lioni, Rio de Janeiro, Brazil; Alexandre Carvalho, Livia Reis, Uti 1-2-3, Udi Hospital, São Luis, Ma, Brazil; Cyntia de Lima, Uti Clínica, Hospital Santa Izabel, Salvador, Brazil; Claudio Piras, Cpc, Vitoria Apart Hospital, Vitoria, Brazil; Eliana Caser, Jansen Falcão, Uti Geral Adulto, Centro Integrado De Atençaõ A Saúde, Cias Unimed Vitória, Vitória, ES, Brazil; Kevin B. Laupland, ICU, Peter Lougheed Centre, Calgary, Canada; Kevin B. Laupland, ICU, Foothills Medical Centre, Calgary, AB, Canada; Kevin B. Laupland, CVICU, Foothills Medical Centre, Calgary, AB, Canada; Kevin B. Laupland, ICU, Rockyview General Hospital, Calgary, AB, Canada; Zhidan Zhang, Xiaochun Ma, Department of Critical Care Medicine, The First Affiliated Hospital of China Medical University, Shenyang, China; Xian Yao Wan, Jiu Zhi Zhang, Department of Intensive Care Medicine, The First Affiliated Hospital of Dalian Medical University, Dalian, China; Ke-Jian Qian, Liang Xia, Intensive Care Unit, The First Affiliated Hospital of Nan Chang University, Nan Chang, China; Congshan Yang, Department of Critical Care Medicine, Zhongda Hospital, Southeast University, Nanjing, China; Deng Lijing, Central ICU, West China Hospital of Sichuan University, Chengdu, China; Meili Duan, Department of Critical Care Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, China; Tang Zhanhong, Pan Yiping, Intensive Care Unit, The First Hospital of Guangxi Medical University, Nanning, China; Wang Yongqiang, Luo Ning, ICU, Tianjin First Center Hospital, Tianjin, China; Zhou Li-Xin, LI Jin-Quan, Intensive Care Unit, The Affiliated Foshan Hospital of Sun Yat-Sen University, Foshan, China; Xian Yao Wan, ICU, Beijing Tongren Hospital, Beijing, China; Ivan Gornik, Medical Intensive Care Unit, University Hospiral Centre Zagreb, Zagreb, Croatia; Vesna Degoricija, Medical ICU, University Hospital Sisters of Mercy and University of Zagreb School of Medicine, Zagreb, Croatia; Achille Kouatchet, Département De Réanimation Médicale Et Médecine Hy, Chu Angers, Angers Cedex 9, France; Gaetan Plantefeve, Olivier Pajot, Réanimation Polyvalente, Ch Victor Dupouy, Argenteuil, France; Hatem Kallel, Polyvalent ICU, Andrée Rosemon, Cayenne, France; Lherm Thierry, Kalfon Pierre, Réanimation Polyvalente, Louis Pasteur, Chartres, France; David Petitpas, Réanimation polyvalente, Chg Châlons En Champagne, Châlons En Champagne, France; Henry Lessire, Réanimation Médicale, Ch Pasteur, Colmar, France; Christian Brun-Buisson, Tai Pham, Réanimation Médicale, Chu Henri Mondor, Créteil, France; Djillali Annane, Virginie Maxime, Réanimation Médicale, Chu, Garches, France; Herault Marie-Christine, Reanimation Polyvalente Chirurgicale, Chu Michallon, Grenoble, France; Sybille Merceron, Medico-Surgical ICU, André Mignot Versailles Hospital Centre, Le Chesnay, France; Eric Kipnis, Marielle Boyer-Besseyre, Réanimation Chirurgicale, CHRU De Lille, Lille, France; Benoit Tavernier, Sebastien Faivre, Réanimation Neurochirurgicale, CHRU de Lille, Lille, France; Voillet Francois, Renaud Lepaul Ercole, Medical Intensive Care Unit, Hopital North, Marseille, France; Vincent Willems, Réanimation Polyvalente, Centre Hospitalier De Meaux, Meaux, France; Kada Klouche, Jean Philippe Delabre, Medical Intensive Care Unit, Lapeyronie University Hospital, Montpellier, France; Cartier Julien, Gleyse Brigitte, Service De Réanimation Polyvalente, Ch De Montélimar, Montélimar, France; Sebastien Gibot, Réanimation Médicale, Hopital Central, Nancy, France; Bruno Mégarbane, Réanimation Médicale Et Toxicologique, Hôpital Lariboisière, Paris, France; Philippe Seguin, Réanimation Chirurgicale, Chu De Rennes, Rennes, France; Anne Launoy, Service De Réanimation Chirurgicale Hautepierre, Hôpitaux Universitaires De Strasbourg, Strasbourg, France; Tixier Vincent, Medical, Gabriel Montpied, Clermont-Ferrand, France; Samir Jamali, Unité De Soins Intensifs, Centre Hospitalier De Dourdan, Dourdan, France; Silvia Calvino, Alexis Tabah, Réanimation Médicale, Grenoble Teaching Hospital, Grenoble, France; Michel Durand, Marine Rossi-Blancher, Reanimation Cardiovasculaire et Thoracique, Hopital Michallon, Grenoble, France; Alexandre Debrumetz, Elie Azoulay, Service De Réanimation Médicale, CHU Saint Louis, Paris, France; Julien Charpentier, Jean-Daniel Chiche, Réanimation Médicale Polyvalente, Cochin, Paris, France; Maité Garrouste-Orgeas, Benoit Misset, Réanimation Polyvalente, Paris Saint-Joseph, Paris, France; Gernot Marx, Klinik Für Operative Intensivmedizin Und Intermediate Care, University Hospital Aachen, Aachen, Germany; Wolfgang A. Krueger, Anaesthesiology and Intensive Care Medicine, Clinics of Constance, Constance, Germany; Thomas Felbinger, Department of Anaesthesiology, The Munich Municipal Hospitals Ltd., Munich, Germany; Alexandra Heininger, ICU 20-22, Universitätsklinik Für Anaesthesiologie Und Intensivmedizin, Tuebingen, Germany; Ingo Voigt, Kardiologische Intensivstation, Elisabeth Krankenhaus, Essen, Germany; Torsten Schroeder, Interdisziplinäre Intensivstation, Karl-Olga Krankenhaus, Stuttgart, Germany; Ioannis Pneumatikos, Vassiliki Theodorou, Critical Care Department, University Hospital of Alexandroupoli, Alexandroupoli, Greece; Despoina Koulenti, Apostolos Armaganidis, 2nd Critical Care Department, Attikon University Hospital, Athens, Greece; Pavlos Myrianthefs, Alexandra Gavala, Athens University, School of Nursing, ICU, "Kat" General Hospital, Athens, Greece; Chara Nikolaou, Katerina Kounougeri, Department of Critical Care Medicine, Konstantopouleion General Hospital of Nea Ionia, Athens, Greece; Christina Routsi, Adamantia Liapikou, University ICU Department, Evangelismos General Hospital, Athens, Greece; Christodoulos Nathanail, Pirros Tsakas, Intensive Care Unit, General Hospital of Arta, Arta, Greece; Andreas Karabinis, Christos Tsakalakis, Critical Care Department, General Hospital "G. Genimatas," Athens, Greece; Kostas Mandragos, Chrysostomos Katsenos, Intensive Care Unit, Red Cross (Erythros Stavros) Hospital, Athens, Greece; Georgios Anthopoulos, Georgios Choutas, Intensive Care Unit, 251 Air Force General Hospital, Athens, Greece; Anastasia Koutsikou, Ilona Nikolaidou, Intensive Care Unit (Surgical), General Hospital of Athens "Asklepieion Voulas," Athens, Greece; Vasileios Bekos, Anna Spring, Intensive Care Unit, Naval Hospital of Athens, Athens, Greece; Haralambos Paskalis, Vassiliki Psallida, Intensive Care Unit, Hygeia General Hospital, Athens, Greece; Aikaterini Ioakeimidou, Alexandra Lahana, Intensive Care Unit, Athens Veterans Hospital (Nimits), Athens, Greece; Paraskevi Plantza, Aikaterini Nodarou, ICU Kaa Sotiria General Hospital, Sotiria General Hospital, Athens, Greece; Antonia Koutsoukou, Magdalini Kyriakopoulou, ICU 1st Resp. Medicine Depart. Athens University, Sotiria General Hospital, Athens, Greece; Martha Michalia, Phyllis Clouva-Molyvdas, Department of Critical Care Medicine, "Thriassion" General Hospital of Eleusis, Elefsina, Athens, Greece; Dimitrios Sfyras, Christos Georgiadis, Intensive Care Unit, General Hospital of Lamia, Lamia, Greece; Pavlos Polakis, Spiros Papanikolaou, Intensive Care Unit, "Peiraiko" Therapeftirio, Pireus, Greece; Christos Christopoulos, Efstratia Vrettou, Intensive Care Unit, General Hospital of Pyrgos, Pyrgos, Greece; Kostoula Arvaniti, Dimitrios Matamis, Critical Care Department, "Papageorgiou" General Hospital of Thessaloniki, Thessaloniki, Greece; Theoniki Paraforou, Kyriaki Spiropoulou, ICU, General Hospital of Trikala, Trikala, Greece; Dimitris Georgopoulos, Maria Klimathianaki, Critical Care Department, University General Hospital of Heraklion, Crete, Heraklion, Greece; Georgios Nakos, Vasilios Koulouras, Critical Care Department, University Hospital of Ioannina, Ioannina, Greece; Apostolos Komnos, Achilleas Chovas, Department of Critical Care Medicine, General Hospital of Larisa, Larisa, Greece; Athanasios Prekates, Eleni Magira, Critical Care Department, "Tzaneion" General Hospital of Pireus, Pireus, Greece; Maria Giannakoy, Eleni Gkeka, Intensive Care Unit, "Ahepa" General Hospital, Thessaloniki, Greece; Eleni Antoniadou, Elli Antypa, Critical Care Department, General Hospital of Thessaloniki "G. Genimatas," Thessaloniki, Greece; Nikoletta Gritsi-Gerogianni, Christina Kydona, Critical Care Department, "Hippokrateion" General Hospital of Thessaloniki, Thessaloniki, Greece; Epaminondas Zakynthinos, Nikolas Tzovaras, Critical Care Department, University Hospital of Larissa, Larissa, Greece; Akos Csomos, Surgical Intensive Care, Semmelweis University, Budapest, Hungary; Csóka Gábor, Sürgősségi Beteg Ellátó Egység, Fővárosi Önkormányzat Szent Imre Kórház, Budapest, Hungary; Borbala Mikos, György Velkey, Pediatric Anaesthesia and Intensive Care Unit, Bethesda Children's Hospital of The Hungarian Reformed Church, Budapest, Hungary; Eszter Vitális, Auguszta Sebészet Intenzív, The Medical And Health Science Centre of the University of Debrecen, Debrecen, Hungary; Nóra, Ágota Kovács, Aito Flór Ferenc, Kistarcsa, Hungary; Lajos Bogar, Tamas Kiss, Department of Anaesthesia and Intensive Therapy, University of Pécs, Pécs, Hungary; Zollei Eva, Medical ICU, University of Szeged, Szeged, Hungary; Valerio Mangani, Giorgio Tulli, Intensive Care Unit, S. Giovanni Di Dio, Firenze, Italy; Guido Stefania, Ronco Chiara, Centro Rianimazione, Maggiore Della Carità, Novara, Italy; Massimo Antonelli, Luca Montini, Rianimazione E Terapia Intensiva, Policlinico Universitario A. Gemelli, Rome, Italy; Monica Rocco, Giorgia Citterio, Centro Di Rianimazione, Policlinico Umberto I, Rome, Italy; Shigeki Fujitani, Emergency & Critical Care Medicine, St. Marianna University School of Medicine Hospital, Kanagawa, Japan; Koji Hosokawa, Intensive Care Unit, Kyoto Prefectural University of Medicine, Kyoto, Japan; Motaouakkil Said, Charra Boubaker, Reanimation Medicale, CHU Ibn Rochd, Casablanca, Morocco; Marcus Schultz, Annelou Van Der Veen, ICU, Academic Medical Center, Amsterdam, The Netherlands; Heleen Aardema, Intensive and Respiratory Care Unit, University Medical Center Groningen, Groningen, The Netherlands; Dennis Bergmans, Rik Schoemakers, Department of Intensive Care, Maastricht University Medical Centre, Maastricht, The Netherlands; Ronald Wesselink, ICU, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands; Evelien A.N. Oostdijk, Marc J.M. Bonten, Department of Medical Microbiology, University Medical Center Utrecht, Utrecht, The Netherlands; Iwona Dragan, ICU, General Hospital, Gniezno, Poland; Włodzimierz Kostyrka, Medical ICU, Szpital Powiatowy, Ostrów Wielkopolski, Poland; Barbara Tamowicz, Adam Mikstacki, Department of Anaesthesiology and Intensive Therapy, Poznan University of Medical Sciences, Regional Hospital, Poznan, Poland; Piotr Smuszkiewicz, Department of Anaesthesiology and Intensive Therapy, University Hospital, Poznan, Poland; Jacek Nadolski, Oa I It, Wielkopolska Center of Pulmonology and Thoracic Surgery, Poznań, Poland; Robert Choma, Oddział Anestezjologii I Intensywnej Terapii, Szpital W Śremie, Śrem, Poland; Wladyslaw Koscielniak, Pawel Pietraszek, Oddzial Anestezjologii I Intesywnej Terapii, Regional Hospital Zielona Gora, Zielona Gora, Poland; Edward Maul, Serviço De Medicina Intensiva, Hospital Central Do Funchal, Funchal, Portugal; Anabela Bártolo, Salomé Martins, UCIP, Chaa, Guimarães, Guimarães, Portugal; Isabel Miranda, Mariana Oliveira, UCIP02, Hospital De St. António Dos Capuchos, Centro Hospitalar De Lisboa Central, E.P.E., Lisboa, Portugal; Carlos França, Ana Tornada, Smi, Hospital De Santa Maria, Lisbon, Portugal; Luís Telo, Leonardo Ferreira, UCIP, Pulido Valente, Lisboa, Portugal; Teresa Cardoso, Unidade De Cuidados Intensivos Polivalente, Hospital De Santo António, Porto, Portugal; Lurdes Santos, Alcina Ferreira, UCI-DI, Hospital S. João, Porto, Portugal; José Manuel Pereira, UCIP Geral, Hospital S João, Porto, Portugal; Celeste Dias, UCI Neurocriticos, Hospital Sao Joao, Porto, Portugal; Maria Conceição Dias, UCIPU, UCIP Urgencia, Hospital De S. João, Porto, Portugal; Ana J. Marques, Paula Castelões, Ucipolivalente Do Chvngaia, Hospital Santos Silva, Centro Hospitalar Vila Nova De Gaia, Vila Nova Gaia, Portugal; Uros Batranovic, Srdjan Gavrilovic, Intensive Care Unit, Institute For Pulmonary Diseases of Vojvodina, Sremska Kamenica, Republic of Serbia; Daniela Filipescu, Cardiac Anesthesia and Intensive Care, Emergency Institute of Cardiovascular Diseases, Bucharest, Romania; Francisco Alvarez-Lerma, Maria Pilar Gracia, Intensive Care Unit, Hospital Del Mar, Barcelona, Spain; Fernando Armestar-Rodriguez, Eduard, Mesalles-Sanjuán, Medicina Intensiva, Hospital Universitari Germans Trias I Pujol, Badalona, Spain; Nerea Lopez De Arbina, Josep Sirvent, Servicio De Medicina Intensiva, Hospital Universitari De Girona Dr Josep Trueta, Girona, Spain; Pau Garro, UCI General, Hospital General De Granollers, Granollers (Barcelona), Spain; Juan Ramón Cortés Cañones, Unidad Cuidados Intensivos, Complexo Hospitalario Ourense Cristal Piñor, Orense, Spain; Armando Blanco, Lara Marqués, Unidad De Medicna Intensiva I, Hospital Universitario Central De Asturias (HUCA), Oviedo, Spain; Josu Insausti, Iñigo Martija, UCI, Hospital De Navarra, Pamplona, Spain; Jordi Valles, Ricard Ferrer, Critical Care Center, Hospital Sabadell, Sabadell, Spain; Alejandro Ubeda, Francisco Lucena, Polyvalent ICU, H.U. Valme, Seville, Spain; Maricarmen Gilavert Cuevas, UCI, Hospital Universitario Joan Xxiii-Instituto Pere Virgili, Tarragona, Spain; Rafael Zaragoza, Susana Sancho, ICU, Hospital Univ. Dr. Peset, Hospital Universitario Dr. Peset, Valencia, Spain. Markus Laube, Madeleine Rothen, Intensivstation, Spitalzentrum, Biel, Switzerland; Philippe Eggimann, Jean-Luc Pagani, Service De Médecine Intensive Adulte, Chuv, Lausanne, Switzerland; Samia Ayed, Service De Reanimation Medicale, CHU Tahar Sfar, Mahdia, Tunisia; Islem Ouanes, Fekri Abroug, Réanimation Polyvalente, Chu Fattouma Bourguiba, Monastir, Tunisia; Dilek Özcengiz, Reanimation, Cukurova Medical University, Adana, Turkey; Seyhan Yağar, Cardiovascular Surgery, ICU, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey; Süheyla Ünver, Yeliz Irem Tunçel, Anestesia Intensive Care Unit, Ankara Dr Abdurrahman Yurtaslan Onkoloji E. A. Hastanesi, Ankara, Turkey; Unase Buyukkocak, Esra Aykac, Intensive Care Unit and Anaesthesia, Kirikkale University, The School of Medicine Hospital, Kirikkale, Turkey; Ahmet COŞAR, Hüseyin Oğuz Yilmaz, Anesteziyoloji Ve Reanimasyon Ad Ybü, Gülhane Askeri Tıp Akademisi, Ankara, Turkey; Arash Pirat, Pinar Zeyneloglu, Surgical Intensive Care Unit, Baskent University Hospital, Ankara, Turkey; Nermin Kelebek Girgin, Halis Akalın, Anaesthesiology and ICU, Uludag University Medical Faculty, Bursa, Turkey; Hulya Sungurtekin, Simay Serin, Anaesthesiology and ICU, Pamukkale University, Denizli, Turkey; I. Ozkan Akinci, Neuro Icu, Istanbul Medical Faculty, Istanbul, Turkey; Tayfun Adanir, Atilla Sencan, Anaesthesiology and ICU, Ataturk Training And Research Hospital, Izmir, Turkey; Ahmet Dilek, Mikail Yüksel Intensive Care Unit, Ondokuz Mayis University, School of Medicine, Samsun, Turkey; Ismail KATI, Ugur Goktas, Anaesthesia and Intensive Care Unit, Yuzuncu Yil University Medical Faculty, Van, Turkey; Ashraf El Houfi, MICU-SICU, Dubai Hospital, Dubai, United Arab Emirates.