Factors affecting mortality of patients with bacteremia

Kluge, Ronica M.; Pont, H. L. Du

doi:10.1097/00003246-197309000-00022

Cited by 10 publications

(23 citation statements)

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“…In our ICU the mortality of septicaemic patients was more than double that of non septicaemic patients. A higher mortality rate in patients with gram negative [27,45] and "multiple species septicaemia" [14] has been found; we did not find such a relationship.…”

Section: Resultscontrasting

confidence: 91%

“…Serratia marcescens is being isolated with increased frequency in hospitals and ICUs [2,27,36,37,43,53]. During the period of the present study Serratia marcescens reached a 20~ incidence displacing the more common gram negative organisms and was found to be statistically related to "ICU-acquired septicaemia".…”

Section: Resultsmentioning

confidence: 63%

“…Our series also reflects the group of septicaemic patients in the hospital area best suited for appropriate therapy. The presence of a positive blood culture carries a high mortality both in the ICU [13,45] and in hospital wards [2,6,14,21,27,33,37,44]. In our ICU the mortality of septicaemic patients was more than double that of non septicaemic patients.…”

Section: Resultsmentioning

confidence: 67%

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Septicaemia in a medical intensive care unit. Clinical, biochemical and microbiological data of 109 cases

et al. 1983

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Blood cultures were obtained from 39% of all 574 admissions to our Medical Intensive Care Unit. (ICU); in 109 (19%) a pathogenic organism was demonstrated. 45% of the septicaemias were detected within the first 48 h of ICU stay have been considered as "non ICU-acquired". Septicaemic patients were significantly older, had longer ICU stays and a higher mortality rate (62%) than non septicaemic patients (28%) (p less than 0.05). Gram negative organisms (69%) predominated over gram positive (29%) and Serratia marcescens and coagulase positive Staphylococcus were the most frequently isolated. Shock appeared in 32% and had an extremely high mortality (91%) and was associated with the presence of "multiple species septicaemia". Prior to the septicaemia the survivors differed from the fatalities only in the level of serum albumin; this was significantly lower in patients with gram negative in comparison with gram positive septicaemias and in patients who developed shock. Arterial, pulmonary artery and urinary catheters, and endotracheal devices were used frequently in these patients and were statistically associated with the presence of septicaemia. The airway was the most frequent possible source for the septicaemia.

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Section: Resultscontrasting

confidence: 91%

Section: Resultsmentioning

confidence: 63%

Section: Resultsmentioning

confidence: 67%

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Septicaemia in a medical intensive care unit. Clinical, biochemical and microbiological data of 109 cases

et al. 1983

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“…The eight patients who died because of the bacteraemia were patients with malignant diseases or azotaemia. These results are in agreement with other studies (Kluge & DuPont, 1973;Rose et al 1977). Britt, Schleupner & Matsumiya (1978) found a much higher incidence of nosocomial infection in patients with fatal diseases than in patients with non-fatal diseases.…”

Section: Discussionsupporting

confidence: 94%

A one-year survey of nosocomial bacteraemia at a Danish university hospital

Eliasen

Nielsen

Espersen

1986

J. Hyg.

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SUMMARYA 1-year prospective study of nosocomial bacteraemia was performed at Hvidovre Hospital with special reference to frequency, focus of infection and prognosis. All patients were examined clinically in order to confirm the bacteraemia. In total, 98 hospital-acquired bacteraemias were observed, giving an incidence rate of 028 %. Bacteraemia due to Escherichia coli, Staphylococcus aureus and StaphylococcUs epidermidis predominated. The overall mortality was 38 % ; 65 % of the patients with S. aureus bacteraemia died, 25 % due to the bacteraemia. The most common types of infection were urinary tract infections and intravenous catheter infections. Fifty-five of the bacteraemias were caused by foreign bodies, mostly urinary catheters and intravenous catheters, and in 14 cases the focus was unknown. The patient population was severely ill patients. We conclude that nosocomial bacteraemia occurs specially in severely ill patients often preceded by indwelling urinary or intravenous catheters. The patients seldom die due to the bacteraemia, but they die with concomitant bacteraemia.

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“…Quantitative cultures may help to understand the pathogenesis of blood stream infections [15] and have established an association between higher viable load and death in gram-negative sepsis [16][17][18][19]. Wain et al [20,21] found viable counts of S. Typhi in blood to be higher among children, in multidrug-resistant infection, and in subjects with stool carriage.…”

Section: Table 1 Viable Yield From Quantitative Cultures For Other Pmentioning

confidence: 99%

Invasive Non‐typhoid Salmonellae Establish Systemic Intracellular Infection in HIV‐Infected Adults: An Emerging Disease Pathogenesis

et al. 2010

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Factors affecting mortality of patients with bacteremia

Cited by 10 publications

References 0 publications

Septicaemia in a medical intensive care unit. Clinical, biochemical and microbiological data of 109 cases

Septicaemia in a medical intensive care unit. Clinical, biochemical and microbiological data of 109 cases

A one-year survey of nosocomial bacteraemia at a Danish university hospital

Invasive Non‐typhoid Salmonellae Establish Systemic Intracellular Infection in HIV‐Infected Adults: An Emerging Disease Pathogenesis

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