Risk factors for recurrent bacteremia in adult patients with nontyphoid salmonellosis

Ron Bin Hsu, Robert J. Chen, Shu Hsun Chu

研究成果: 雜誌貢獻文章同行評審

13 引文 斯高帕斯(Scopus)

摘要

Background: This study sought to find the risk factors for recurrent bacteremia in adult patients with non-typhoid salmonellosis. Method Retrospective chart review. Result: Between September 1984 and December 2003, 235 adult (age ≥ 18 years old) patients with bacteremia with nontyphoid salmonellosis were admitted to our hospital. Among them, 130 patients (55%) had immunodeficiency, 31 patients (13%) had systemic lupus erythematosus, 26 patients (11%) had hematologic malignancies, 50 patients (21%) had solid organ cancers, and 39 patients (17%) had endovascular infections. Thirty-seven patients had recurrent bacteremia during the study period. Both univariate and multivariate analysis showed that immunodeficiency was the only predictor of recurrent bacteremia (odds ratio, 2.79; P = 0.013). The overall hospital mortality rate was 26%: 8% for patients with recurrent bacteremia and 29% for patients without recurrence. The independent risk factors of hospital death were old age, not recurrent infection, and solid organ cancers. Conclusion: Old age, systemic lupus erythematosus, malignancies, and immunodeficiency were common in adult patients with nontyphoid Salmonella bacteremia. The incidence of recurrent bacteremia was 16%. Immunodeficiency predisposed patients to recurrent bacteremia. Recurrent bacteremia was associated with a lower hospital mortality rate, however.
原文英語
頁(從 - 到)315-318
頁數4
期刊American Journal of the Medical Sciences
328
發行號6
DOIs
出版狀態已發佈 - 一月 1 2004
對外發佈

ASJC Scopus subject areas

  • 醫藥 (全部)

指紋

深入研究「Risk factors for recurrent bacteremia in adult patients with nontyphoid salmonellosis」主題。共同形成了獨特的指紋。

引用此