頁籤選單縮合
題 名 | Non-typhoidal Salmonella Bacteremia in Adults |
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作 者 | Yen, Yung-Feng; Lin, Yi-Chun; Chen, Te-Li; Chen, Yin-Yin; Lin, Mei-Lin; Wang, Fu-Der; Liu, Chen-Yi; | 書刊名 | 微免與感染雜誌 |
卷 期 | 40:3 2007.06[民96.06] |
頁 次 | 頁227-233 |
分類號 | 414.83 |
關鍵詞 | Bacteremia; Risk factors; Salmonella infections; Serotyping; |
語 文 | 英文(English) |
英文摘要 | Background and Purpose: Very few studies have examined prognostic factors in adult patients with non-typhoidal Salmonella (NTS) bacteremia. The purpose of this study was to identify the prognostic factors of these patients. Methods: A total of 79 episodes of NTS bacteremia were identified in 73 patients between January 2001 and December 2003. Susceptibilities to various antimicrobials were determined using disk-diffusion tests and National Committee for Clinical Laboratory Standards criteria. Multiple logistic regression was used to evaluate the relationship between patients’ characteristics and covariates of mortality. Results: There were only 5 episodes (6%) of gastroenteritis, two of which were due to Salmonella septicemia contracted abroad. Potentially predisposing factors were identifiable in 51 episodes (65%). Infections in 24 patients (30%) were due to serogroup B Salmonella and in 22 patients (28%), to serogroup C Salmonella. A logistic regression analysis selected two variables as independently influencing prognosis: coma (p=0.006) and septic shock (p=0.002). Conclusions: Thus, most adult patients with NTS bacteremia do not develop gastroenteritis. Patients in shock or coma have poor prognosis, and susceptibility to third-generation cephalosporins, cefepime, and carbapenem is high. |
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