HOSPITAL-ACQUIRED BACTEREMIC URINARY-TRACT INFECTION - EPIDEMIOLOGY AND OUTCOME
HOSPITAL-ACQUIRED BACTEREMIC URINARY-TRACT INFECTION - EPIDEMIOLOGY AND OUTCOME
复制标题
DOI：
10.1016/s0022-5347(17)49707-2
复制
发表时间：
1984-01-01
影响因子：
6.6
通讯作者：
REYNOLDS, KL
中科院分区：
文献类型：
--
作者：
BRYAN, CS;REYNOLDS, KL
对1977 ~ 1981年1个城市4家医院221例医院获得性尿路菌血症感染病例进行分析，总死亡率为30.8%。尿路细菌感染的死亡率为12.7%。28例直接死于医院获得性细菌性尿路感染的患者中，有19例正在接受医疗服务，所有患者均患有局灶性或弥漫性中枢神经系统疾病、恶性肿瘤、酒精性肝病或肝硬化、晚期动脉硬化伴肾功能衰竭和/或糖尿病伴闭塞性周围血管疾病。根据这些数据推断，美国每年有3520例死亡是由医院获得性尿路感染直接引起的，但这些死亡实际上可能仅限于潜在疾病预后不良的高风险患者。
Analysis of 221 episodes of hospital-acquired bacteremic urinary tract infection in 4 hospitals of 1 metropolitan area from 1977-1981 revealed an over-all mortality rate of 30.8%. The mortality rate attributed specifically to bacteremic urinary tract infection was 12.7%. Of the 28 patients whose deaths were attributed directly to hospital-acquired bacteremic urinary tract infection 19 were on medical services and all had focal or diffuse CNS disease, malignancy, alcoholic liver disease or cirrhosis, advanced arteriosclerosis with renal failure and/or diabetes mellitus with obliterative peripheral vascular disease. Extrapolation of these data suggests that 3520 deaths in the USA each year are directly caused by hospital-acquired bacteremic urinary tract infection, but that these deaths may be limited virtually to high risk patients with poor prognoses from underlying diseases.