title: [Septicemia in patients with human immunodeficiency virus infection (excluding Mycobacteria). Apropos of 58 cases].
abstract: We reviewed the characteristics of 58 episodes of septicemia which occurred in 53 HIV infected adults over a 30-month period. This cases represented 10.1% of HIV infected hospitalized patients. At the time of septicemia, 79.3% patients were at AIDS stage; mean CD4 count was 72/mm3. Nosocomial septicemia occurred significatively more often in patients with previous AIDS defining illness and in neutropenic patients (p < or = 0.05 and p < or = 0.001 respectively). Staphylococcus coagulase negative (n = 17), Staphylococcus aureus (n = 11) and Salmonella (n = 8) were the most common organisms. The source of infection was found more frequently in nosocomial septicemia than in community-acquired septicemia (78% versus 46%; p < 0.02), mainly intravenous catheter (60%). Staphylococcus aureus, AIDS stage and nosocomial septicemia have high fatality rates. Mortality was not higher than previously reported in the general population.
authors.affiliation: Service de Maladies Infectieuses et Médecine Interne, Hôpital Pellegrin, Bordeaux.
authors.forename: A M
authors.initials: AM
authors.lastname: Rogues
authors.forename: M
authors.initials: M
authors.lastname: Dupon
authors.forename: M C
authors.initials: MC
authors.lastname: Paty
authors.forename: J M
authors.initials: JM
authors.lastname: Ragnaud
authors.forename: J L
authors.initials: JL
authors.lastname: Pellegrin
authors.forename: J Y
authors.initials: JY
authors.lastname: Lacut
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000401:mortality; D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000209:etiology* / Q000382:microbiology / Q000401:mortality; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D018805:Sepsis / Q000209:etiology* / Q000382:microbiology / Q000401:mortality
vernacular_title: Septicémies chez les sujets infectés par le virus de l'immunodéficience humaine (Mycobactéries exclues). A propos de 58 observations.