GROUP-A STREPTOCOCCAL BACTEREMIA IN A COMMUNITY TEACHING HOSPITAL - 1980-1989

Title

GROUP-A STREPTOCOCCAL BACTEREMIA IN A COMMUNITY TEACHING HOSPITAL - 1980-1989

Creator

Burkert T; Watanakunakorn C

Publisher

Clinical Infectious Diseases

Date

1992
1992-01

Description

This report reviews 45 episodes of group A streptococcal bacteremia during 1980-1989 in a large hospital; 24 episodes occurred in the first 5 years of study (1980-1984) and 21 in the last 5 years (1985-1989). Four episodes were nosocomial. The remaining 41 episodes were community acquired, of these episodes, 12 occurred in patients who were transferred from nursing homes. There was a definite seasonal predominance (84%) during November-June. All but three patients had chronic underlying conditions. The major portals of entry were the skin and lungs, and the main types of infection were primary septicemia, cellulitis and soft-tissue infection, pneumonia, and infective endocarditis. The overall mortality rate was 24%; 20% of the deaths were due to infection. Factors that adversely influenced mortality were septic shock (P < .02), < 10,000/mm3 leukocytes (P < .05); < 80% segmented polymorphonuclear leukocytes and band forms (P < .02). and hyperbilirubinemia (P < .01). Neither prevalence nor severity of group A streptococcal bacteremia increased during the last 5 years of study.

Subject

adults; Infectious Diseases; Microbiology; Immunology; endocarditis; infections; group-b; episodes; acute rheumatic-fever; beta-hemolytic streptococci; erythromycin resistance; pyogenes bacteremia; shock-like syndrome

Format

Journal Article or Conference Abstract Publication

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

29-37

Issue

1

Volume

14

Citation

Burkert T; Watanakunakorn C, “GROUP-A STREPTOCOCCAL BACTEREMIA IN A COMMUNITY TEACHING HOSPITAL - 1980-1989,” NEOMED Bibliography Database, accessed October 27, 2021, https://neomed.omeka.net/items/show/8767.

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