[Epidemiology of hospital bacteremias in eastern France. Eastern CCLIN Network].
Bacteremia occurs frequently among critically ill patients. The aim of this study carried out in Eastern France was to describe the epidemiology of nosocomial bacteremia and to assess the methicillin-resistance of Staphylococcus aureus (SA). Data were collected during a 4 months prospective survey (09/96-12/96) carried out among 44 hospitals. We counted 2633 episodes of bacteremia classified as contamination (684), nosocomial bacteremia (970) and community bacteremia (979). Incidence rate of nosocomial bacteremia was 30.7 per 100 beds in the intensive care units. When documented, the origin of the nosocomial bacteremia was the most often catheter blood related infection or urinary tract infection. Gram positif cocci were predominant among nosocomial bacteremia (53.8%). Among Gram negative bacteria (enterobacteria) (31.6%), Escherichia coli was the most frequently isolated. SA was methicillin-resistant in 18.3% of community bacteremia and in 26.5% of nosocomial bacteremia. Coagulase negative Staphylococcus were methicillin-resistant in 25.4% of community bacteremia and in 60.1% of nosocomial bacteremia. Measures to prevent catheter blood related infections and urinary tract infections may be started.
Service de Microbiologie et Hygiène Hospitalière, Institut Jean Godinot, Reims, France.
V
V
Bussy Malgrange
O
O
Bajolet Laudinat
M
M
Gerdeaux
G
G
Laplatte
B
B
Mulin
J C
JC
Reveil
S
S
Gayet
D016470:Bacteremia / Q000453:epidemiology* / Q000382:microbiology / Q000635:transmission; D001419:Bacteria / Q000145:classification / Q000187:drug effects / Q000302:isolation & purification; D015373:Bacterial Typing Techniques; D002404:Catheterization; D003428:Cross Infection / Q000453:epidemiology* / Q000635:transmission; D004352:Drug Resistance, Microbial; D004866:Equipment Contamination; D005602:France / Q000453:epidemiology; D016469:Fungemia / Q000453:epidemiology; D006748:Hospital Departments; D006801:Humans; D015994:Incidence; D007362:Intensive Care Units; D011446:Prospective Studies; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000382:microbiology / Q000635:transmission
Epidémiologie des bactériémies nosocomiales dans l'Est de la France. Reseau CCLIN Est.