Changes in incidence and aetiology of bacteraemia arising in hospital practice.

Watt, P. J.; Okubadejo, O. A.

doi:10.1136/bmj.1.5534.210

Cited by 43 publications

(14 citation statements)

References 9 publications

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“…The rates reported in other studies range from 3.4 to 28 per 1000 admissions. [1][2][3][4][5] However, these studies have pooled community and nosocomial bacteremias together. A study from Kuwait reported the incidence of communityacquired bacteremia as 6.6%.…”

Section: Discussionmentioning

confidence: 99%

“…Studies done on bacteremia in the West have shown a change in the pattern of the causative organisms, with increasing gramnegative bacteremias, especially in hospital-acquired infections. [1][2][3][4][5] The few reports from developing countries showed a different pattern of community-acquired bacteremia, with an increased frequency of pathogens such as Salmonella. [6][7][8] There is very little data on community-acquired bacteremia in Saudi Arabia.…”

Section: Accepted For Publication 7 March 1989mentioning

confidence: 99%

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Community-Acquired Bacteremia in a Teaching Hospital in Saudi Arabia

et al. 1989

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During one year, 153 episodes of community-acquired bacteremia were documented at King Khalid University Hospital in Riyadh, with an incidence of 6.7 cases/1000 admissions. Over 70% of the isolates were gram-negative organisms. Brucella sp. accounted for 42% of all isolates. The other common iso lates were Escherichia coli and streptococci. The origin of infection could be identified in 79% of patients with non-Brucella bacteremia, with the urinary and respiratory tracts the most common sources of bacteremia. The mortality of bacteremia in this series was 5.2%. Streptococcus pneumoniae bacteremia was associated with the highest mortality.IOM Al-Orainey, MNS Al-Nasser, ES Saeed, SA Al-Habib, MNH Chowdhury, Community-Acquired Bacteremia in a Teaching Hospital in Saudi Arabia. 1989; 9(6): 547-550 Bacteremia is a serious problem confronting clinicians, as it is associated with a high mortality. Studies done on bacteremia in the West have shown a change in the pattern of the causative organisms, with increasing gramnegative bacteremias, especially in hospital-acquired infections.1-5 The few reports from developing countries showed a different pattern of community-acquired bacteremia, with an increased frequency of pathogens such as Salmonella. [6][7][8] There is very little data on community-acquired bacteremia in Saudi Arabia. This study was therefore undertaken to assess the incidence and pattern of community-acquired bacteremia in a university hospital in Saudi Arabia. Material and MethodsThe study was conducted at King Khalid University Hospital in Riyadh over a period of one year, between 1 November 1986 to 30 October 1987. Patients with community-acquired bacteremia were included. For the purpose of the study, community-acquired bacteremia was defined as an infection present on or before admission to hospital. Bacteremias occurring after admission to the hospital were considered hospital-acquired infections and were excluded from the study.The hospital records of patients with community-acquired bacteremia were reviewed for demographic data, symptoms and signs of infection, results of laboratory tests and cultures, underlying diseases, predisposing factors, therapy, and outcome of each episode of bacteremia. The origin of infection was identified by examining culture results and clinical data. Laboratory MethodsBlood cultures were performed by drawing 10 ml of blood aseptically from each patient and inoculating 5 ml into each of two bottles, one containing tryptic soy broth and the other thiol broth (Difco Laboratories, Detroit,

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Section: Discussionmentioning

confidence: 99%

Section: Accepted For Publication 7 March 1989mentioning

confidence: 99%

Community-Acquired Bacteremia in a Teaching Hospital in Saudi Arabia

et al. 1989

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“…Even their temporary demise cannot be celebrated with too much acclaim, for in their place Gram-negative organisms, which were probably always present in certain categories of ill and low birthweight babies, now predominate in many newborn nurseries (Light et al, 1968;Forfar, Gould, and Maccabe, 1968), and give equal if not greater cause for anxiety. This recent prominence of Gram-negative bacilli is mirrored in other hospital wards where ill patients are nursed (Watt and Okubadejo, 1967;Gallus, Stratford, and Dixson, 1969;Johanson, Pierce, and Sanford, 1969), and some of the reasons thought relevant for the newborn may be generally applicable. As already stated, the humidifying units of the specialized equipment which now surrounds the sick baby are known to harbour and propagate these organisms, frequently antibiotic resistant, unless the utmost care is taken with their cleansing.…”

Section: Pathogens Such As Listeria Monocytogenes Ormentioning

confidence: 99%

Bacterial infection in the fetus and newborn.

Davies¹

1971

Archives of Disease in Childhood

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“…When comparing the data from several periods, on mortality due to this infection, we do not find any substantial difference although antibacterial therapy as a whole has achieved remarkable success during that time [Stanley, 1947; Spittel, 1956; F orkner, 1958; Curtin, 1961; A ltemeier, 1967; Watt, 1967]. Prognosis of this infection has always been and remains, at least for the time being, very unfavourable.…”

Section: Bacteremia or Septicemia Caused By Pseudomonas Aeruginosamentioning

confidence: 87%