Is nosocomial Escherichia coli bacteremia a predictive risk factor for mortality?

نویسندگان

  • Felipe F Tuon
  • Jaime L Rocha
  • Fernanda A Guadagnin
  • Márcia S Alves
چکیده

The objective of this study was to determine risk factors associated with mortality in patients with nosocomial Escherichia coli bacteremia from January 2009 to January 2011. In a retrospective study the medical records of 88 patients over 18 years with nosocomial bacteremia caused by E. coli were analyzed. In univariate analysis several risk factors, including chronic renal failure, altered mental status, leukocytosis, and higher Charlson index of comorbidities were associated with mortality. In multivariate analysis only altered mental status remained independently associated with mortality. Mental confusion can be a risk factor for mortality in patients with E. coli bacteremia.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Risk factors and outcome in extended spectrum beta-lactamase producing Escherichia coli and Klebsiella pneumoniae bacteremia.

Given our interest in the epidemiology of nosocomial infection, and the impact of multidrug resistance, I read with great interest the study by Dr. Memon et al1 regarding risk factors and mortality associated with bacteremia caused by extended-spectrum ß-lactamase producing (ESBL) Escherichia coli and Klebsiella pneumonia. In this study, the only variable identified as a significant risk factor...

متن کامل

Analysis of early-onset bloodstream infection due to Escherichia coli infection in premature babies

In early-onset bacteremia among preterm neonates, Escherichia coli (E. coli) is the main pathogen and can cause a high mortality rate. Thus, the predictive factors of mortality and extended-spectrum β-lactamase (ESBL)-producing E. coli in preterm babies with E. coli early-onset bacteremia were reported.We retrospectively reviewed preterm neonates who had E. coli bacteremia occurring within 3 da...

متن کامل

Hospital-acquired and ventilator-associated pneumonia: what's new in diagnosis and treatment?

Nosocomial infections are an important cause of morbidity and mortality in US hospitals [1]. The cost to the country is enormous, with $4.5 billion being spent annually on the treatment of patients with nosocomial pneumonia. According to the American Society of Microbiology, approximately 70% of nosocomial infections are caused by organisms resistant to 1 antimicrobial agent [2]. In addition to...

متن کامل

Prognostic value of endotoxemia in patients with Gram-negative bacteremia is bacterial species dependent.

The prognostic impact of endotoxemia detection in sepsis is unclear. Endotoxemia is detectable in <70% of patients with Gram-negative (GN) bacteremias. Mortality proportion data were available from 27 published studies of patients with GN bacteremia in various settings. Among ten studies restricted to specific types of GN bacteremia, endotoxemia was associated with significantly increased morta...

متن کامل

Comparative prevalence of virulence factors in Escherichia coli causing urinary tract infection in male infants with and without bacteremia.

Escherichia coli isolates causing urinary tract infection in 83 male infants younger than 90 days with and without bacteremia were compared for phylogenetic groups and the presence of 10 virulence factors. Our result suggest that the absence of both hemolysin and antigen K1 may be used as a negative predictive factor for bacteremia.

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

دوره 18 1  شماره 

صفحات  -

تاریخ انتشار 2014