کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3375404 1219678 2009 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Predictors of mortality in beta-hemolytic streptococcal bacteremia: A population-based study
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروبیولوژی و بیوتکنولوژی کاربردی
پیش نمایش صفحه اول مقاله
Predictors of mortality in beta-hemolytic streptococcal bacteremia: A population-based study
چکیده انگلیسی

SummaryObjectivesSeveral factors associated with mortality in Lancefield group A beta-hemolytic streptococcal bacteremia have been described in population-based surveillance studies, whereas such reports on group B, C, and G streptococcal are scant.MethodsIn this population-based study all 314 episodes of beta-hemolytic streptococcal bacteremia in adult patients in the Pirkanmaa area, Finland, during the 10-year period 1995–2004 were retrospectively reviewed.ResultsThe 30-day case-fatality rate was 13%, being highest in group C (22%); in group A it was 15%, in group B 7%, and in group G 15%. Confusion, unconsciousness and dyspnea as the first sign or symptom were associated with increased case-fatality, while fever seemed to be a protecting factor for death. Alcoholism and ultimately or rapidly fatal underlying disease were significantly associated with increased case-fatality. Among infections of the skin and soft-tissues, necrotizing fasciitis had the highest risk of death (38%), while patients with cellulitis had a case-fatality of 8%. A history of previous cellulitis seemed to protect against death (case-fatality of 3% as compared to 16% among those without such a history (p = 0.014)).ConclusionA history of previous cellulitis seemed to be a protecting factor against death. Fever was also associated with a good prognosis.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Infection - Volume 58, Issue 4, April 2009, Pages 266–272
نویسندگان
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