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儿科实践中的菌血症模式:影响死亡率的因素

Patterns of bacteremia in pediatrics practice: factors affecting mortality rates.

作者信息

Bryan C S, Reynolds K L, Derrick C W

出版信息

Pediatr Infect Dis. 1984 Jul-Aug;3(4):312-6. doi: 10.1097/00006454-198407000-00007.

DOI:10.1097/00006454-198407000-00007
PMID:6473133
Abstract

All episodes of bacteremia occurring in pediatric practice (birth to age 17) in the major hospitals of one metropolitan area between 1977 and 1981 were analyzed to determine current patterns of bacteremia and associated mortality. The overall mortality for 713 episodes of bacteremia was 13.6%. However, mortality attributed specifically to bacteremia, according to the criteria used in this study, was only 7.6%. Thirty-four of the 54 deaths attributed to bacteremia occurred in the neonatal period. Five deaths were attributed to bacteremia during the second and third years of life, and only three deaths were attributed to bacteremia in patients between 3 and 16 years of age. No deaths were attributed to bacteremia arising from the following sources: otitis media, osteomyelitis, septic arthritis, skin infections, endocarditis, urinary tract infection or infection clearly due to vascular access devices.

摘要

对1977年至1981年间一个大都市主要医院儿科实践(出生至17岁)中发生的所有菌血症病例进行了分析,以确定当前菌血症模式及相关死亡率。713例菌血症的总体死亡率为13.6%。然而,根据本研究使用的标准,特定归因于菌血症的死亡率仅为7.6%。归因于菌血症的54例死亡中,有34例发生在新生儿期。5例死亡归因于生命第二年和第三年的菌血症,3至16岁患者中仅有3例死亡归因于菌血症。以下来源引起的菌血症未导致死亡:中耳炎、骨髓炎、化脓性关节炎、皮肤感染、心内膜炎、尿路感染或明显由血管通路装置引起的感染。

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J Clin Microbiol. 1993 Apr;31(4):793-7. doi: 10.1128/jcm.31.4.793-797.1993.
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Clin Microbiol Rev. 1989 Oct;2(4):329-53. doi: 10.1128/CMR.2.4.329.