Document Detail


The importance of pathogens in sepsis: Staphylococcus aureus story.
MedLine Citation:
PMID:  19958239     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Different pathogens cause different outcomes for patients with sepsis. They influence intensive care unit (ICU) mortality, ICU length of stay (ICU LOS) and the need for mechanical ventilation (MV). We undertook a retrospective data-based analysis over a 6-y period. Seventy-eight patients with methicillin-sensitive Staphylococcus aureus (MSSA) and 74 patients with Escherichia coli (EC) sepsis were included in the study. ICU mortality for the MSSA group was 32 (41.0%) vs 26 (35.1%) for the EC group (p = 0.506; OR 1.28, 95% CI 0.67-2.48). There was no significant difference in ICU LOS (MSSA group: median 7.5, interquartile range (IQR) 4-14 days and EC: median 5, IQR 3-13.5 days; p = 0.214). Need for MV in the MSSA group was present in 45 (57.7%) patients vs 43 (58.1%) in the EC group. Univariate analysis did not show that MSSA was independently associated with ICU mortality (p = 0.506). Logistic regression analysis showed that after adjustment for APACHE II, the chance of ICU death doubled in the MSSA group (odds ratio 2.166; 95% confidence interval 1.004-4.858). The odds for ICU admission were 8 times higher in MSSA patients. MSSA sepsis should be considered as an independent factor for ICU mortality after adjustment for APACHE II.
Authors:
Marija Santini; Marko Kutlesa; Ana Pangercic; Bruno Barsic
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of infectious diseases     Volume:  42     ISSN:  1651-1980     ISO Abbreviation:  Scand. J. Infect. Dis.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-08     Completed Date:  2010-04-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0215333     Medline TA:  Scand J Infect Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  172-6     Citation Subset:  IM    
Affiliation:
Intensive Care Unit, University Hospital for Infectious Disease Dr Fran Mihaljevi?, Zagreb, Croatia.
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MeSH Terms
Descriptor/Qualifier:
APACHE
Aged
Escherichia coli / isolation & purification*
Escherichia coli Infections / mortality*,  pathology
Female
Humans
Length of Stay / statistics & numerical data
Male
Middle Aged
Respiration, Artificial / statistics & numerical data
Retrospective Studies
Sepsis / microbiology*,  mortality*,  pathology
Staphylococcal Infections / mortality*,  pathology
Staphylococcus aureus / isolation & purification*

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


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