Bacteremic superinfections of patients with bacteremia: occurrence, bacteriology, mortality, and duration of hospitalization at Boston City Hospital during 12 selected years between 1935 and 1972

The Journal of Infectious Diseases
M Finland, M W Barnes

Abstract

During the course of hospitalization of 6,414 patients with bacteremic infections identified at Boston City Hospital (Boston, Massachusetts) during 12 selected years between 1935 and 1972, 6.0% developed verified bacteremic superinfections with organisms not isolated or identified in the primary bacteremic infection. Analysis of these cases reemphasizes the increasing occurrence of serious hospital-acquired infections despite the successive introduction and intensive use of a large number of effective antibacterial agents. The bacteremic superinfections, like the primary hospital-acquired bacteremias, increased in incidence over the years, particularly since 1961; they were more frequent and were associated with a higher mortality rate and longer duration of hospital stay in the primary hospital-acquired cases than in the patients in whom bacteremia was considered to be community-acquired. The organisms in superinfections were similar to those in primary hospital-acquired bacteremias. Superinfection was more frequent among the patients who died than among the survivors.

Citations

May 1, 1981·Mechanisms of Ageing and Development·G S Habicht
Feb 10, 2009·The Journal of Antimicrobial Chemotherapy·Marc H ScheetzTodd A Lee
Apr 1, 1981·Intensive Care Medicine·N Clumeck, C George
Apr 11, 1980·American Journal of Infection Control·J J KlimekR Quintiliani

Related Concepts

Bacterial Infections
Candidiasis
Infections, Hospital
Hospitals, Municipal
Hospital Stay
Relapse
Urban Health
Pyemia

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