Seven-year study of bacteremia in hospitalized patients on chronic hemodialysis in a single tertiary hospital.
Sixty-seven hospitalized bacteremic patients on chronic hemodialysis were matched with 134 bacteremic controls. Mortality (25% and 28% respectively) was unrelated to dialysis. Predictors of mortality were: advanced age, decreased functional capacity, and malignancies. Most common organisms recovered were Staphylococcus aureus (30%), coagulase negative Staphylococcus (15%), and polymicrobial agents (15%).
Shmuely
Haim
H
Department of Internal Medicine C. Unit of Infectious Diseases, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel. hshmuely@clalit.org.il
Pitlik
Silvio
S
Yahav
Jacob
J
Samra
Zmira
Z
Leibovici
Leonard
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000453:epidemiology* / Q000209:etiology* / Q000382:microbiology; D015415:Biomarkers / Q000097:blood; D001806:Blood Urea Nitrogen; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D003404:Creatinine / Q000097:blood; D005260:Female; D016469:Fungemia / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology; D006760:Hospitalization; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D006435:Renal Dialysis; D012307:Risk Factors; D012709:Serum Albumin / Q000378:metabolism; D013211:Staphylococcus aureus; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D015415:Biomarkers; D012709:Serum Albumin; D003404:Creatinine