dc.creator | Rodríguez-Baño, Jesús | es |
dc.creator | López Prieto, M. D. | es |
dc.creator | Portillo, M. M. | es |
dc.creator | Retamar Gentil, Pilar | es |
dc.creator | Natera, C. | es |
dc.creator | Nuño, E. | es |
dc.creator | Corzo Delgado, Juan Enrique | es |
dc.date.accessioned | 2024-02-09T07:32:38Z | |
dc.date.available | 2024-02-09T07:32:38Z | |
dc.date.issued | 2010-09 | |
dc.identifier.citation | Rodríguez-Baño, J., López Prieto, M.D., Portillo, M.M., Retamar Gentil, P., Natera, C., Nuño, E. y Corzo Delgado, J.E. (2010). Epidemiology and clinical features of community-acquired, healthcare-associated and nosocomial bloodstream infections in tertiary-care and community hospitals. Clinical Microbiology and Infection, 16 (9), 1408-1413. https://doi.org/10.1111/j.1469-0691.2010.03089.x. | |
dc.identifier.issn | 1198-743X | es |
dc.identifier.issn | 1469-0691 | es |
dc.identifier.uri | https://hdl.handle.net/11441/154989 | |
dc.description.abstract | Classification of bloodstream infections (BSIs) as community-acquired (CA), healthcare-associated (HCA) and hospital-acquired (HA) has been proposed. The epidemiology and clinical features of BSI according to that classification in tertiary-care (TH) and community (CH) hospitals were investigated in a prospective cohort of 821 BSI episodes from 15 hospitals (ten TH and five CH hospitals) in Andalucía, Spain. Eighteen percent were CA, 24% were HCA and 58% were HA. The incidence of CA and HCA BSI was higher in CH than in TH (CA: 3.9 episodes per 1000 admissions vs. 2.2, p <0.01; HCA: 5.0 vs. 2.9, p <0.01), whereas the incidence of HA BSI was lower (7.7 vs. 8.7, p <0.01). In CA and HCA BSI, the respiratory tract was more frequently the source in CH than in TH (CA: 30% vs. 15%; HCA: 20% vs. 9%, p ≤0.03). In HCA BSI, chronic renal insufficiency and tunnelled catheters were less frequent in CH than in TH (11% vs. 26% and 7% vs. 19%, p ≤0.03), although chronic ulcers were more frequent (22% vs. 8%, p 0.008). BSIs as a result of methicillin-resistant Staphylococcus aureus or Pseudomonas aeruginosa were very rare in CA episodes, although extended-spectrum β-lactamase-producing Escherichia coli (ESBLEC) caused a similar proportion of all BSIs in CA, HCA and HA episodes. Multivariate analysis revealed no significant difference in mortality rates in CH and TH. HCA infections should be considered as a separate class of BSI in both TH and CH, although differences between hospitals must be considered. CA BSIs were not caused by multidrug-resistant pathogens, except for ESBLEC. | es |
dc.description.sponsorship | Consejeria de Salud, Junta de Andalucia 0063/2006 | es |
dc.description.sponsorship | Consejeria de Salud, Junta de Andalucia PI0048/2008 | es |
dc.description.sponsorship | FIS PI070190 | es |
dc.description.sponsorship | Instituto de Salud Carlos III-FEDER | es |
dc.description.sponsorship | Ministerio de Sanidad y Consumo | es |
dc.description.sponsorship | Spanish Network for the Research in Infectious Diseases REIPI RD06/0008 | es |
dc.format | application/pdf | es |
dc.format.extent | 6 | es |
dc.language.iso | eng | es |
dc.publisher | Elsevier | es |
dc.relation.ispartof | Clinical Microbiology and Infection, 16 (9), 1408-1413. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Bloodstream infections | es |
dc.subject | Community-acquired infections | es |
dc.subject | Extended-spectrum b-lactamases | es |
dc.subject | Healthcare-associated infections | es |
dc.subject | Methicillin-resistant Staphylococcus aureus | es |
dc.subject | Multicentre study | es |
dc.subject | Nosocomial infections | es |
dc.title | Epidemiology and clinical features of community-acquired, healthcare-associated and nosocomial bloodstream infections in tertiary-care and community hospitals | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/acceptedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina | es |
dc.date.embargoEndDate | 2011-09 | |
dc.relation.publisherversion | https://www.sciencedirect.com/science/article/pii/S1198743X14606856?via%3Dihub | es |
dc.identifier.doi | 10.1111/j.1469-0691.2010.03089.x | es |
dc.journaltitle | Clinical Microbiology and Infection | es |
dc.publication.volumen | 16 | es |
dc.publication.issue | 9 | es |
dc.publication.initialPage | 1408 | es |
dc.publication.endPage | 1413 | es |