https://scholars.lib.ntu.edu.tw/handle/123456789/535831
標題: | Bacteremia due to Citrobacter species: Significance of primary intraabdominal infection | 作者: | Shih C.-C. YEE-CHUN CHEN SHAN-CHWEN CHANG KWEN-TAY LUH Hsieh W.-C. |
公開日期: | 1996 | 出版社: | Oxford University Press | 卷: | 23 | 期: | 3 | 起(迄)頁: | 543-549 | 來源出版物: | Clinical Infectious Diseases | 摘要: | From 1982 to 1994, 45 patients (1.22 episodes per 10,000 discharged patients) were treated for citrobacter bacteremia at National Taiwan University Hospital (Taipei). All patients had at least one underlying disease. Citrobacter bacteremia most commonly occurred in patients with malignancies (48.9%) or hepatobiliary stones (22.2%). Intraabdominal tumors comprised the majority (59.1%) of malignancies. Bacteremia commonly originated from sites such as the abdominal cavity (51.1%), urinary tract (20%), and lung (11.1%). Polymicrobial bacteremia was diagnosed in 15 patients (33.3%); for nine (60%) of these patients, the source of the infection was intraabdominal. Prior treatment with a third-generation cephalosporin was significantly associated (P < .01) with the development of multidrug resistance among the isolates. The mortality associated with citrobacter bacteremia was 17.8%. Poor prognostic factors included pneumonia, altered mental status on presentation, hypathermia, oliguria, septic shock, deterioration in mental status, hyperbilirubinemia, azotemia, and thrombocytopenia. Combination therapy, as compared with other regimens, improved the outcome of citrobacter bacteremia. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029833750&doi=10.1093%2fclinids%2f23.3.543&partnerID=40&md5=11a88f6a3e6336fc1c3e550ff9f9eaff https://scholars.lib.ntu.edu.tw/handle/123456789/535831 |
ISSN: | 1058-4838 | DOI: | 10.1093/clinids/23.3.543 | SDG/關鍵字: | cephalosporin derivative; abdominal infection; abdominal tumor; article; bacteremia; cholelithiasis; Citrobacter; clinical article; female; human; hyperbilirubinemia; hypothermia; lung; male; oliguria; peritoneal cavity; pneumonia; priority journal; prognosis; septic shock; thrombocytopenia; uremia; urinary tract |
顯示於: | 醫學系 |
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