Nosocomial primary bacteremia: clinical and laboratory characteristics in adults and children
Braz. j. infect. dis
; 2(1): 31-36, Feb. 1998. tab
Artigo
em Inglês
| LILACS
| ID: lil-339448
Biblioteca responsável:
BR11.1
ABSTRACT
A prospective study was carried out to evaluated the main clinical and laboratory manifestations of nosocomial primary bacteremia among adults and children at the Heart Institute. University of Säo Paulo School of Medicine, Brazil during 1993. Forty occurrences of bacteremia were analyzed; 27 in adults and 13 in children. Among adults, although fever, rigors and alterations in leukocyte count were frequently recorded, rigors and fever were absent in 30 percent of the cases and the frequency of any associated clinical manifestations was only 55 percent. Among children, fever ocurred most frequently, but rigors were not recorded. It is concluded that the diagnosis of nosocomial bacteremia is imprecise due to frequent absence of the main clinical correlates of bacteremia. blood cultures should be obtained in patients who are in a setting associated with bacteremia, even if typical clinical signs and symptoms are not presented, and that frequent updating of guidelines for empiric treatment is needed. We also suggest that separate guidelines be established for children and adults because of the differences in the clinical findings in these two groups.
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Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Infecção Hospitalar
/
Bacteriemia
Tipo de estudo:
Guia de prática clínica
/
Estudo observacional
/
Fatores de risco
Limite:
Adolescente
/
Adulto
/
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Braz. j. infect. dis
Assunto da revista:
Doenças Transmissíveis
Ano de publicação:
1998
Tipo de documento:
Artigo