Sjöberg L, Fredlund H
Department of Clinical Microbiology, Orebro Medical Center, Hospital, Sweden.
Eur J Clin Microbiol Infect Dis. 1988 Aug;7(4):501-4. doi: 10.1007/BF01962600.
To demonstrate the local epidemiological situation with respect to septicemia in an area of Sweden, a survey was made of all blood cultures performed in the county of Orebro (270,000 inhabitants) from 1980 to 1986. From these blood cultures 4,057 organisms presumed clinically significant were isolated which gives an annual incidence of 215 isolates per 100,000 inhabitants. The two most frequently isolated species were Escherichia coli (24.6%) and Staphylococcus aureus (16.9%). Only minor annual variations in the frequency of different species was observed. An increasing tendency in the isolation rate of Pseudomonas aeruginosa and enterococci since 1980 was noted. Comparison of the findings of the present study with those of other studies demonstrated differences between geographical areas and time-periods. Repeated monitoring of the local spectrum of organisms isolated from blood cultures and, if necessary, adjustment of the routine antibiotic regimen is thus recommended.
为了解瑞典某地区败血症的当地流行病学情况，对厄勒布鲁县（27万居民）1980年至1986年期间进行的所有血培养进行了调查。从这些血培养中分离出4057种临床认为有意义的微生物，每10万居民的年发病率为215株。最常分离出的两种菌种是大肠埃希菌（24.6%）和金黄色葡萄球菌（16.9%）。不同菌种的频率仅观察到轻微的年度变化。自1980年以来，铜绿假单胞菌和肠球菌的分离率呈上升趋势。将本研究结果与其他研究结果进行比较，发现不同地理区域和时间段之间存在差异。因此，建议对从血培养中分离出的微生物的当地谱进行重复监测，并在必要时调整常规抗生素治疗方案。
