Stille W, Helm E B
MMW Munch Med Wochenschr. 1976 Apr 23;118(17):529-32.
As to pathogens causing septicaemic diseases, the era of antibiotics has brought about a shift from gram-positive cocci to gram-negative rod-shaped bacilli. 628 septicaemic infections verified by haemocultures were evaluated from January 1, 1960 until March 31, 1975. Septicaemic complications in haemodialyses originated either from infections of the shunt or of the dialytic system, or septicaemia occurred as a result of infusion. In 110 patients presenting myeloid insufficiency, the pathogen ranking first was Pseudomonas aeruginosa, followed by E. coli and Klebsiellae. The entire spectrum of facultatively pathogenic bacteria is capable of causing septicaemic complications in myeloid insufficiency. Postoperative endocarditis may be particularly serious and problematical.
至于引起败血症疾病的病原体，抗生素时代已导致病原体从革兰氏阳性球菌转变为革兰氏阴性杆状杆菌。对1960年1月1日至1975年3月31日期间经血培养证实的628例败血症感染进行了评估。血液透析中的败血症并发症要么源于分流器或透析系统的感染，要么是输液导致败血症。在110例出现骨髓功能不全的患者中，排名第一的病原体是铜绿假单胞菌，其次是大肠杆菌和克雷伯菌属。所有兼性病原菌都有可能在骨髓功能不全时引起败血症并发症。术后心内膜炎可能特别严重且棘手。
