| Effect of bacteremia on mortality after thermal injury. | |
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MedLine Citation:
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PMID: 3178485 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Infection is a common cause of death after thermal injury. Therefore, we reviewed the records of 1108 patients who had sustained burns to determine the effect of bacteremia on mortality. Overall, 32 patients died due to sepsis, 26 of whom had positive blood cultures. During this period, 93 patients had 133 bacteremic episodes. The 26 bacteremic patients (28%) who died had larger burns (71% +/- 24%) than the 67 patients who survived (39% +/- 24%), as well as a higher incidence of inhalation injuries. The patients dying of sepsis also were more likely to have polymicrobial bacteremias than the survivors. The distribution of microorganisms causing bacteremia was different between the surviving and nonsurviving patients, with patients sustaining fatal bacteremias having a higher incidence of infections with gram-negative enteric organisms or Pseudomonas. Thus, increased burn size and the presence of an inhalation injury, polymicrobial bacteremia, or gram-negative bacteremia were associated with an increased mortality rate in bacteremic patients with burns. |
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Authors:
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K Sittig; E A Deitch |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 123 ISSN: 0004-0010 ISO Abbreviation: Arch Surg Publication Date: 1988 Nov |
Date Detail:
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Created Date: 1988-11-18 Completed Date: 1988-11-18 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1367-70 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Louisiana State University Medical Center, Shreveport 71130-3932. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Burns / microbiology, mortality* Candidiasis / mortality Child Female Humans Male Middle Aged Pseudomonas Infections / mortality Sepsis / mortality* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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