[Bacteremia secondary to decubitus ulcer].
We have prospectively evaluated 16 episodes of bacteremia induced by decubitus ulcers. The most commonly isolated microorganisms were Staphylococcus aureus, Proteus mirabilis, Pseudomonas aeruginosa and Bacteroides fragilis. Bacteremia was polymicrobial in 5 cases (31%). Most ulcers were already present at the time of admission, but bacteremia developed within the hospital in 13 patients. In 3 patients, ulcers did not show local features of infection. The initial antibiotic therapy was satisfactory in 13 cases. Mortality rate directly associated with bacteremia was 18%, but the overall mortality rate was 62%. We did not identify data permitting a reliable prediction of the findings of blood culture; therefore, the initial empirical therapy should be active against Staphylococcus aureus, Pseudomonas, enteric Gram-negative bacilli and anaerobes including Bacteroides fragilis.
Espejo Arenas
E
E
Bella Cueto
F
F
Aloy Duch
A
A
Morera Pomarede
M A
MA
Espaulella Panicot
J
J
Mauri Pont
M
M
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000150:complications* / Q000382:microbiology; D011446:Prospective Studies; D018805:Sepsis / Q000209:etiology* / Q000382:microbiology
Bacteriemia secundaria a úlceras de decúbito.