Sepsis & infection

ICU-acquired infection in neutropenic patients

Crit CarePublished Matched cohort study

Main finding · ICU-AI incidence rateResult — go to the resultIncidence rate ratio 1.15 CI 1.05–1.25

Authors' conclusion

Neutropenic patients had higher ICU-AI incidence as compared with non-neutropenic patients, specifically through an increase of BSI incidence.

Study context

Population
Patients admitted >48 h to 265 French intensive care units (ICUs) (REA-REZO surveillance cohort), 2018–20237,545 matched pairs
Exposure
Neutropenic vs non-neutropenic patients
Outcome
Rate of ICU-acquired infection (ICU-AI)
Methodological detailsnationwide, multicentre surveillance cohort, matched analysis
  • Nationwide
  • Multicentre surveillance cohort
  • Matched analysis

Main finding

ICU-AI incidence rate

Incidence rate ratio

1.15

CI 1.05–1.25

P = 0.002

By group

Neutropenic vs Non-neutropenic
IRR 1.15 (CI 1.05–1.25); P = 0.002

As reported in the abstract

Observational data: associations, not effects.

Further findings

Enterobacterales among ICU-AI

P < 0.001

Coagulase negative Staphylococcus among ICU-AI

P < 0.001

Enterococcus spp. among ICU-AI

P = 0.015

OutcomeP value
Bloodstream infection (BSI) incidence rateHigher in neutropenic · matched analysisP < 0.001
Pneumonia incidence rateComparableP = 0.503
Central-line associated BSI incidence rateComparableP = 0.100
Candida spp. among ICU-AI — Candida spp., neutropenic vs non-neutropenic · higher in neutropenic
10.4% vs 6.2% · P = 0.001

ICU-AI involving multidrug resistant micro-organisms

Rates did not differ between groups

ICU-AI involving non fermenting Gram-negative bacilli

Rates did not differ between groups

Original publication

ICU-acquired infection in neutropenic patients. Crit Care. Published 17 March 2026. doi:10.1186/s13054-026-05890-5

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.