Analysis of comorbidity of the patients affected by staphylococcal bacteremia/sepsis in the last ten years.
BACKGROUND
none declared.


BACKGROUND
Staphylococcal bacteremia/sepsis is one of the most serious bacterial infections around the world. In individuals with pre-existing diseases, there is always an increased risk of infections occurring due to impaired immune system, a variety of drug therapy, exposure to a diagnostic and therapeutic procedure and frequent hospitalizations.


OBJECTIVE
To analyze the prevalence of comorbidity in a patient with the staphylococcal bacteremia/sepsis according to the diagnosis, the site of infection and according to the isolated agent.


METHODS
We analyzed the patients affected by the staphylococcal bacteremia/sepsis and treated in the Clinic for Infectious Diseases during a ten-year period.


RESULTS
87 patients were included, out of whom 20 (23%) with clinical signs of the bacteremia and 67 (77%) of sepsis. In the analyzed sample, in 36 (41.4%) were not registered comorbidity. Hospital infections are represented by the previous antibiotic, corticosteroid and chemo therapy, pressure ulcers, and different implants. In all comorbidity, the most common isolated bacteria was S. aureus primarily strain MSSA followed by MRSA strain which is more frequent in patients who were surgically treated (comorbidity-various implants).


CONCLUSIONS
The results suggest the importance of being mindful of the staphylococcal etiology of the bacteremia/sepsis in patients with comorbidities due to the selection of an adequate initial empirical therapy and reducing the risks of the septic shock.
Clinic for Infectious diseases, Clinical Center University of Sarajevo , Sarajevo, Bosnia and Herzegovina.
Enra
E
Lukovac
Clinic for Infectious diseases, Clinical Center University of Sarajevo , Sarajevo, Bosnia and Herzegovina.
Nada
N
Koluder-Cimic
Clinic for Infectious diseases, Clinical Center University of Sarajevo , Sarajevo, Bosnia and Herzegovina.
Meliha
M
Hadzovic-Cengic
Clinic for Infectious diseases, Clinical Center University of Sarajevo , Sarajevo, Bosnia and Herzegovina.
Rusmir
R
Baljic
Clinic for Infectious diseases, Clinical Center University of Sarajevo , Sarajevo, Bosnia and Herzegovina.
Amir
A
Hadzic
Clinic for Infectious diseases, Clinical Center University of Sarajevo , Sarajevo, Bosnia and Herzegovina.
Refet
R
Gojak
comorbidity; staphylococcal bacteremia/sepsis