Document Detail


Group A streptococcal bacteremia in a community teaching hospital--1980-1989.
MedLine Citation:
PMID:  1571444     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report reviews 45 episodes of group A streptococcal bacteremia during 1980-1989 in a large hospital; 24 episodes occurred in the first 5 years of study (1980-1984) and 21 in the last 5 years (1985-1989). Four episodes were nosocomial. The remaining 41 episodes were community acquired; of these episodes, 12 occurred in patients who were transferred from nursing homes. There was a definite seasonal predominance (84%) during November-June. All but three patients had chronic underlying conditions. The major portals of entry were the skin and lungs, and the main types of infection were primary septicemia, cellulitis and soft-tissue infection, pneumonia, and infective endocarditis. The overall mortality rate was 24%; 20% of the deaths were due to infection. Factors that adversely influenced mortality were septic shock (P less than .02), less than 10,000/mm3 leukocytes (P less than .05); less than 80% segmented polymorphonuclear leukocytes and band forms (P less than .02), and hyperbilirubinemia (P less than .01). Neither prevalence nor severity of group A streptococcal bacteremia increased during the last 5 years of study.
Authors:
T Burkert; C Watanakunakorn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  14     ISSN:  1058-4838     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-06-03     Completed Date:  1992-06-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  29-37     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, St. Elizabeth Hospital Medical Center, Youngstown, Ohio 44501-1790.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Bacteremia / epidemiology,  microbiology*,  mortality
Cellulitis / epidemiology,  microbiology,  mortality
Child
Cross Infection / epidemiology,  microbiology*,  mortality
Endocarditis, Bacterial / epidemiology,  microbiology,  mortality
Female
Hospitals, Teaching
Humans
Infant
Male
Middle Aged
Nursing Homes
Pneumonia / epidemiology,  microbiology,  mortality
Retrospective Studies
Seasons
Streptococcal Infections / epidemiology,  microbiology*,  mortality
Streptococcus pyogenes / drug effects,  isolation & purification*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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