Incidence des bactériémies et fongémies aux hôpitaux universitaires de Strasbourg de 2005 à 2007

Bourneton, O.; Mutel, T.; Heranney, D.; Hernandez, C.; Lavigne, Thierry; Waller, J.; Jaulhac, B.; Foeglé, J.

doi:10.1016/j.patbio.2009.07.028

Cited by 6 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[3–5] According to an estimate, community-acquired BSI accounts for 20% of all ICU admissions and 28% of all BSI diagnosed in the ICU. [67] Besides increasing incidence, BSIs also have been shown to be associated with increased treatment costs, length of stay and mortality. [8] The case-fatality rate from bacteremic sepsis causing organ dysfunction ranges from 30% to 50%, and attributable mortality of up to 35% has been associated with BSI.…”

Section: Introductionmentioning

confidence: 99%

Incidence of bacteremia at the time of ICU admission and its impact on outcome

et al. 2011

View full text Add to dashboard Cite

Context:Blood culture is routinely taken at the time of admission to the intensive care unit (ICU) for patients suspected to have infection. We undertook this study to determine the incidence of bacteremia at the time of ICU admission and to assess its impact on the outcome.Methods:Retrospective cohort study from all the admissions in ICU, in whom blood cultures sent at the time of admission were analyzed. Data regarding patient demographics, probable source of infection, previous antibiotic use and ICU course was recorded. Severity of illness on admission was assessed by acute physiology and chronic health evaluation II score.Statistical Analysis:Qualitative data were analyzed using Chi-square or Fisher Exact test and quantitative data were analyzed using Student's t-test. Primary outcome measure was ICU mortality.Results:Of 567 patients, 42% patients were on antibiotics. Sixty-four percent of the patients were direct ICU admission from casualty, 10.76% were from wards and 6.17% from other ICUs, and 19.05% were transfers from other hospitals. Blood cultures were positive in 10.6% patients. Mortality was significantly higher in patients with positive blood cultures (45% vs. 13.6%; P=0.000). On univariate analysis, only previous antibiotic use was statistically associated with higher mortality (P=0.011). Bacteremic patients who were already on antibiotics had a significantly higher mortality (OR 12.9, 95% CI: 1.6–100).Conclusions:Blood cultures may be positive in only minority of the patients with suspected infection admitted to ICU. Nevertheless, the prognosis of those patients with positive blood culture is worse, especially if culture is positive in spite of the patient being on antibiotics.

show abstract

Section: Introductionmentioning

confidence: 99%

Incidence of bacteremia at the time of ICU admission and its impact on outcome

et al. 2011

View full text Add to dashboard Cite

show abstract

Pneumococcus infections: Is the burden still as heavy?

Chavanet

2012

Médecine et Maladies Infectieuses

View full text Add to dashboard Cite

Changing aetiology of healthcare-associated bloodstream infections at three medical centres in Taiwan, 2000–2011

et al. 2013

View full text Add to dashboard Cite

This multicentre surveillance study was conducted to investigate the trends in incidence and aetiology of healthcare-associated bloodstream infections (HCA-BSIs) in Taiwan. From 2000 to 2011 a total of 56 830 HCA-BSIs were recorded at three medical centres, and coagulase-negative staphylococci (CoNS) were the most common pathogens isolated (n = 9465, 16·7%), followed by E. coli (n = 7599, 13·4%). The incidence of all HCA-BSIs in each and all hospitals significantly increased over the study period owing to the increase of aerobic Gram-positive cocci and Enterobacteriaceae by 4·2% and 3·6%, respectively. Non-fermenting Gram-negative bacteria, Bacteroides spp. and Candida spp. also showed an increase but there was a significant decline in the numbers of methicillin-resistant S. aureus. In conclusion, the incidence of HCA-BSIs in Taiwan is significantly increasing, especially for Enterobacteriaceae and aerobic Gram-positive cocci.

show abstract

Incidence des bactériémies et fongémies aux hôpitaux universitaires de Strasbourg de 2005 à 2007

Cited by 6 publications

References 9 publications

Incidence of bacteremia at the time of ICU admission and its impact on outcome

Incidence of bacteremia at the time of ICU admission and its impact on outcome

Pneumococcus infections: Is the burden still as heavy?

Changing aetiology of healthcare-associated bloodstream infections at three medical centres in Taiwan, 2000–2011

Contact Info

Product

Resources

About