[Bacteremia of cutaneous origin].
558 episodes of bacteremia were detected in our medical center during a 2-year period. 17 of them (3%) were of cutaneous origin. 12 cases were community-acquired and 5 were hospital-acquired. The patients median age was of 65 years. 15 patients had a baseline disease, the most frequent being diabetes mellitus and neoplastic disease. The most common bacteria isolated were group A beta-hemolytic Streptococcus, Staphylococcus aureus, and Escherichia coli; 2 patients had multibacterial episodes. Decubitus ulcer and cellulitis were the most frequently associated skin disease. Global mortality was of 47% and was sepsis related in 29% of the cases. Death prognosis factors were old age, diabetes mellitus, gram-negative causal bacteria, nonappropriate antibiotic therapy, low index of clinical suspicion.
Soriano Giménez
J C
JC
Servicio de Medicina Interna, Hospital del Mar. Universidad Autónoma de Barcelona.
Tomás Vecina
S
S
Torne Cachot
J
J
Pedro-Botet Montoya
J
J
Garces Jarque
J M
JM
Giménez Camarasa
J M
JM
Drobnic
L
L
Rubies-Prat
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001419:Bacteria / Q000302:isolation & purification; D003428:Cross Infection / Q000453:epidemiology / Q000209:etiology / Q000382:microbiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000453:epidemiology / Q000209:etiology* / Q000382:microbiology; D012874:Skin Diseases, Infectious / Q000150:complications* / Q000453:epidemiology / Q000382:microbiology; D013030:Spain / Q000453:epidemiology
Bacteriemia de origen cutáneo.