Artículo
Epidemiology and clinical features of community-acquired, healthcare-associated and nosocomial bloodstream infections in tertiary-care and community hospitals
Autor/es | Rodríguez-Baño, Jesús
López Prieto, M. D. Portillo, M. M. Retamar Gentil, Pilar Natera, C. Nuño, E. Corzo Delgado, Juan Enrique |
Departamento | Universidad de Sevilla. Departamento de Medicina |
Fecha de publicación | 2010-09 |
Fecha de depósito | 2024-02-09 |
Publicado en |
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Resumen | 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 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. |
Cita | 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. |
Ficheros | Tamaño | Formato | Ver | Descripción |
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CMI bacteriemias SAEI SAMPAC.pdf | 128.9Kb | [PDF] | Ver/ | |
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