[一家综合医院的金黄色葡萄球菌菌血症]
[Staphylococcus aureus bacteremia at a general hospital].
作者信息
Gómez Gómez J, Casas Aranda I, Ruiz Gómez J, Campillo Rodríguez V, Pérez García B, Sánchez Gascón F
机构信息
Departamento de Medicina Interna, Unidad de Infecciones, C.S. Virgen de la Arrixaca, Murcia.
出版信息
An Med Interna. 1990 Mar;7(3):133-7.
70 cases of bacteremia caused by Staphylococcus Aureus were studied. 49 (70%) males, and 21 (30%) females; 45 (64.5%) cases being nosocomial and 25 (35.4%) community acquired. The complications were significantly associated to the community acquired bacteremia (p less than 0.001), endocarditis and cutaneous abscesses being the most frequent (4). The group of cases with rapidly lethal prognosis was significantly associated to an increase of mortality (p less than 0.001), while lethal and non-lethal groups showed a decrease in mortality (p less than 0.001). We did not find a statistically significant association between nosocomial and community acquired bacteremias nor between antibiotic therapy and the mortality rate, chi 2 = 1.747.303 (N.S.), chi 2 = 1.323.806 (N.S.).
对70例由金黄色葡萄球菌引起的菌血症病例进行了研究。男性49例（70%），女性21例（30%）；45例（64.5%）为医院获得性，25例（35.4%）为社区获得性。并发症与社区获得性菌血症显著相关（p<0.001），心内膜炎和皮肤脓肿最为常见（4例）。预后迅速致死的病例组与死亡率增加显著相关（p<0.001），而致死组和非致死组的死亡率均有所下降（p<0.001）。我们未发现医院获得性菌血症与社区获得性菌血症之间以及抗生素治疗与死亡率之间存在统计学显著关联，卡方值=1.747.303（无统计学意义），卡方值=1.323.806（无统计学意义）。
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