Document Detail


Lethality of endocarditis due to S. aureus among patients on hemodialysis.
MedLine Citation:
PMID:  20050514     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study evaluated the prevalence and risk factors for endocarditis in patients undergoing hemodialysis with central venous catheter (CVC) and to identify the microorganisms isolated from the bloodstream. This cohort study followed 94 patients with end stage renal disease (ESRD) who developed bacteremia after the insertion of a CVC for dialysis in the hospital São Paulo, UNIFESP, Brazil. They were divided into two groups: patients with endocarditis (E+) and patients without (E-). The prevalence of endocarditis was 29%. Among risk factors, the time of hospitalization and residence of the catheter were significantly higher (p < 0.001) in group E+. The mortality rate was 15%, and lethality of endocarditis was 55%. Of the 38 microorganisms isolated in group E+, 20 were S. aureus and 45% of those were MRSA. Group E+ with MRSA presented 100% mortality. High mortality and lethality in the E+ group was observed, and of the microorganisms isolated, MRSA was the most lethal. This article provides an overview of the findings of this study.
Authors:
Cibele Grothe; Angélica Belasco; Ana Bettencourt; Solange Diccini; Lucila Vianna; Antonio Pignatari; Ricardo Sesso; Dulce Barbosa
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Nephrology nursing journal : journal of the American Nephrology Nurses' Association     Volume:  36     ISSN:  1526-744X     ISO Abbreviation:  Nephrol Nurs J     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2010-01-06     Completed Date:  2010-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100909377     Medline TA:  Nephrol Nurs J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  613-9, 632     Citation Subset:  N    
Affiliation:
Department of Nursing, Federal University of São Paulo, São Paulo, Brazil. cibelegrothe@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Brazil / epidemiology
Cohort Studies
Endocarditis, Bacterial / microbiology,  mortality*
Humans
Prevalence
Renal Dialysis*
Risk Factors
Staphylococcal Infections / microbiology,  mortality*
Staphylococcus aureus / isolation & purification*

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


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