[Septicemia in patients with human immunodeficiency virus infection (excluding Mycobacteria). Apropos of 58 cases].
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.
Rogues
A M
AM
Service de Maladies Infectieuses et Médecine Interne, Hôpital Pellegrin, Bordeaux.
Dupon
M
M
Paty
M C
MC
Ragnaud
J M
JM
Pellegrin
J L
JL
Lacut
J Y
JY
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
Septicémies chez les sujets infectés par le virus de l'immunodéficience humaine (Mycobactéries exclues). A propos de 58 observations.