Bacteremia in hospitalized patients with human immunodeficiency virus: A prospective, cohort study
Bacteremia in hospitalized patients with human immunodeficiency virus: A prospective, cohort study
复制标题
DOI:
10.1186/1471-2334-1-13
复制
发表时间:
2001-09-07
影响因子:
3.7
通讯作者:
Weaver, B
中科院分区:
文献类型:
--
作者:
Afessa, B;Morales, I;Weaver, B
Background: Bacterial infections complicate the course of patients with human immunodeficiency virus infection. The purpose of this study wa to describe the bacterial pathogens causing blood stream infection, identify the risk factors for the development of blood stream infection and determine the impact of blood stream infection on the outcome of patient infected with human immunodeficiency virus.Method : The incidence, etiology, risk factor and outcome of bacterial blood stream infection were prospectively determined in 1,225 consecutive hospitalizations of adult with human immunodeficiency virus infection.Result : Blood stream infection occurred in 88 hospitalizations (7%); 73 of 89 infections (82%) were community acquired. The most commonly isolated gram-positive organism wa Streptococcus pneumoniae (21); gram-negative, Escherichis coli (14). Blood stream infection wa detected in 8% of African American and 22% of Hispanic compared with 2% of white (P=0.0013). Patient with blood stream infection had higher white blood cell count (median, 6.5 v. 4.9 x 10(9)/L; P=0.0002) and mortality (18% v. 4%; P