Bacteriemias en Mayores de 65 años
Objectives: To evaluate clinical and bacteriological parameters and morbimortality in patients older than 65 years old with bacteremia (Group A), and to compare with patients younger than 65 years old (Group B), hospitalized in an Internal Medicine Service.- Material and Methods: In a protocoliz...
Guardado en:
| Publicado en: | Revista Médica Universitaria |
|---|---|
| Autores principales: | , , , , , , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=2745 |
| descriptores_str_mv |
Ancianos Bacteriemia Datos estadísticos Infecciones bacterianas Mendoza (Argentina) Morbilidad Morbimortalidad Mortalidad Pacientes hospitalizados Pacientes internos Pacientes mayores de 65 años Septicemia |
|---|---|
| todos_str_mv |
1221 2735 HospLagClinMed HospLagClinMed HospLagClinMed HospLagClinMed spa UNCuyo FCM Dto. Medicina Interna UNCuyo FCM Dto. Medicina Interna UNCuyo.FCM.Infec |
| autor_str_mv |
Attorri, Silvia Carena, José Alberto Curti, Ana Dapás, Juan De Schutter, Emiliano Mosso, Marcelo Salomón, Susana Elsa |
| titulo_str_mv |
Bacteriemias en Mayores de 65 años |
| disciplina_str_mv |
Ciencias médicas |
| description_str_mv |
Objectives: To evaluate clinical and bacteriological parameters and
morbimortality in patients older than 65 years old with bacteremia (Group A), and
to compare with patients younger than 65 years old (Group B), hospitalized in an
Internal Medicine Service.-
Material and Methods: In a protocolized, descriptive and observational study
from year 1989 through 2006 we studied patients with two or more positive blood
cultures. Data was analized with Epi Info 6.4.
Results: 668 bacteremias were identified: 258 (38.6%) in A and 410 (61.4%) in
B. The mean age was 74.2 years (SD+7.01) and 47.2 years (SD+13.7)
respectively. There were no differences in the mean hospital stay: 19.1
(SD+17.07) in A vs 19.9 days (SD+18.1) in B, neither in nosocomial acquisition
(10.7 vs 44%). The pulmonary (31 vs 21.2%)(p<0.008) and urinary source (27 vs
18.8%)(p=0.017), arterial hypotension (40.8 vs 32.2%)(p=0.03), olyguria (41.7 vs
30.9%)(p=0.005) and encephalopathy (54.5 vs 39.4%)(p=0.00014) were more
frequent in A. Fever >38°C was more common in B (9 0.9 vs 83.8%)(p=0.0068).
Gram negative bacilli bacteremia were most common in A (46 vs 37%)(p>0.01).
mainly with A. baumani (9.16 vs 4.6%) and E. coli (54.1 vs 42.7%)(p>0.05), and
in B was S. aureus (39.39 vs 24.63)(p=0.01). There were no diferences between
S. pneumoniae bacteremia:13.17 in A and 15.36% in B. Septic shock (33.9 vs
22.4%) and new organ failures (31.1 vs 20.1%) occurred mainly in A (p>0.001).
In hospital mortality was 34.49% in A and 23.41% in B (p=0.018).
Conclusions: Bacteremias in elderly hospitalized patients compared to those
occurred in younger patients were significantly characterized by predominance of
pulmonary and urinary source; arterial hypotension, olyguria and encephalopathy;
gram negative bacilli bacteremia, mainly A. baumani and E. coli; more frequent
development of septic shock; less frequency of fever>38°C and S.Aureus
bacteremia and to significantly higher mortality.
Objetivos: Evaluar parámetros clínicos, bacteriológicos y morbimortalidad en pacientes mayores de 65 años con bacteriemia (Grupo A) y compararlos con aquellas ocurridas en menores de 65 años (grupo B) hospitalizados en un servicio de clínica médica. Material y métodos: Estudio protocolizado, descriptivo y observacional, desde 1989-2006. Criterios de inclusión: dos o más hemocultivos positivos. Análisis estadístico con Epi Info 6.4 . Resultados: Se identificaron 668 bacteriemias: 258 (38,6%) en A y 410 (61,4%) en B. La edad media fue de 74,2 años (DS±7.01) y de 47,2 años (DS±13.7) respectivamente. No hubo diferencias en la permanencia media: 19,1 días (DS±17.07) en A y 19,9 (DS±18,1) en B, ni en el origen nosocomial (40,7 vs 44%). Los focos pulmonar (31 vs 21,2%)(p<0,008) y urinario (27 vs 18,8%)(p=0.017) fue más frecuentes en A. La fiebre >de 38 ºC fue menos frecuente en A (83,8 vs 90,9%)(p=0.0068), mientras que la hipotensión arterial (40,8 vs 32,2%)(p=0.03), oliguria (41,7 vs 30,9%)(p=0.005) y encefalopatía (54,5 vs 39,4%)(p=0.00014) fueron mas comunes en A. Los bacilos gram negativos predominaron en A (46 vs 37%)(p<0.01) con diferencias entre A.baumani (9,16 vs 4,6%) y E.coli (54,1 vs 42,7%)(p<0.05) y en B fueron más frecuentes por S.aureus MS (34.39 vs 24,63)(p=0.01). El shock séptico (33,9 vs 22,4%) y nuevas insuficiencias de órganos (31,1 vs 20,1%) prevalecieron en A (p<0,001). La mortalidad fue de 34,49% para A y de 23,41% para B (p=0,018) Conclusiones: Las bacteriemias en pacientes internados mayores de 65 años comparadas con las ocurridas en pacientes. de menor edad, se caracterizaron significativamente por tener predominio del foco pulmonar y urinario, de hipotensión arterial, oliguria y encefalopatía, de bacteriemia por BGN, principalmente A. baumanii y E. coli; mayor desarrollo de shock séptico, menor frecuencia de fiebre >38°C y de bacteriemia por MSS A, y significativa mayor mortalidad. |
| object_type_str_mv |
Textual: Revistas |
| id |
2745 |
| plantilla_str |
Artículo de Revista |
| record_format |
article |
| container_title |
Revista Médica Universitaria |
| journal_title_str |
Revista Médica Universitaria |
| journal_id_str |
r-1221 |
| container_issue |
Revista Médica Universitaria |
| container_volume |
Vol. 4, no. 3 |
| journal_issue_str |
Vol. 4, no. 3 |
| tipo_str |
textuales |
| type_str_mv |
Articulos |
| title_full |
Bacteriemias en Mayores de 65 años |
| title_fullStr |
Bacteriemias en Mayores de 65 años Bacteriemias en Mayores de 65 años |
| title_full_unstemmed |
Bacteriemias en Mayores de 65 años Bacteriemias en Mayores de 65 años |
| description |
Objectives: To evaluate clinical and bacteriological parameters and
morbimortality in patients older than 65 years old with bacteremia (Group A), and
to compare with patients younger than 65 years old (Group B), hospitalized in an
Internal Medicine Service.-
Material and Methods: In a protocolized, descriptive and observational study
from year 1989 through 2006 we studied patients with two or more positive blood
cultures. Data was analized with Epi Info 6.4.
Results: 668 bacteremias were identified: 258 (38.6%) in A and 410 (61.4%) in
B. The mean age was 74.2 years (SD+7.01) and 47.2 years (SD+13.7)
respectively. There were no differences in the mean hospital stay: 19.1
(SD+17.07) in A vs 19.9 days (SD+18.1) in B, neither in nosocomial acquisition
(10.7 vs 44%). The pulmonary (31 vs 21.2%)(p<0.008) and urinary source (27 vs
18.8%)(p=0.017), arterial hypotension (40.8 vs 32.2%)(p=0.03), olyguria (41.7 vs
30.9%)(p=0.005) and encephalopathy (54.5 vs 39.4%)(p=0.00014) were more
frequent in A. Fever >38°C was more common in B (9 0.9 vs 83.8%)(p=0.0068).
Gram negative bacilli bacteremia were most common in A (46 vs 37%)(p>0.01).
mainly with A. baumani (9.16 vs 4.6%) and E. coli (54.1 vs 42.7%)(p>0.05), and
in B was S. aureus (39.39 vs 24.63)(p=0.01). There were no diferences between
S. pneumoniae bacteremia:13.17 in A and 15.36% in B. Septic shock (33.9 vs
22.4%) and new organ failures (31.1 vs 20.1%) occurred mainly in A (p>0.001).
In hospital mortality was 34.49% in A and 23.41% in B (p=0.018).
Conclusions: Bacteremias in elderly hospitalized patients compared to those
occurred in younger patients were significantly characterized by predominance of
pulmonary and urinary source; arterial hypotension, olyguria and encephalopathy;
gram negative bacilli bacteremia, mainly A. baumani and E. coli; more frequent
development of septic shock; less frequency of fever>38°C and S.Aureus
bacteremia and to significantly higher mortality.
|
| dependencia_str_mv |
Facultad de Ciencias Médicas |
| title |
Bacteriemias en Mayores de 65 años |
| spellingShingle |
Bacteriemias en Mayores de 65 años Ancianos Bacteriemia Datos estadísticos Infecciones bacterianas Mendoza (Argentina) Morbilidad Morbimortalidad Mortalidad Pacientes hospitalizados Pacientes internos Pacientes mayores de 65 años Septicemia Attorri, Silvia Carena, José Alberto Curti, Ana Dapás, Juan De Schutter, Emiliano Mosso, Marcelo Salomón, Susana Elsa |
| topic |
Ancianos Bacteriemia Datos estadísticos Infecciones bacterianas Mendoza (Argentina) Morbilidad Morbimortalidad Mortalidad Pacientes hospitalizados Pacientes internos Pacientes mayores de 65 años Septicemia |
| topic_facet |
Ancianos Bacteriemia Datos estadísticos Infecciones bacterianas Mendoza (Argentina) Morbilidad Morbimortalidad Mortalidad Pacientes hospitalizados Pacientes internos Pacientes mayores de 65 años Septicemia |
| author |
Attorri, Silvia Carena, José Alberto Curti, Ana Dapás, Juan De Schutter, Emiliano Mosso, Marcelo Salomón, Susana Elsa |
| author_facet |
Attorri, Silvia Carena, José Alberto Curti, Ana Dapás, Juan De Schutter, Emiliano Mosso, Marcelo Salomón, Susana Elsa |
| title_sort |
Bacteriemias en Mayores de 65 años |
| title_short |
Bacteriemias en Mayores de 65 años |
| url |
https://bdigital.uncu.edu.ar/fichas.php?idobjeto=2745 |
| estado_str |
3 |
| building |
Biblioteca Digital |
| filtrotop_str |
Biblioteca Digital |
| collection |
Artículo de Revista |
| institution |
Sistema Integrado de Documentación |
| indexed_str |
2023-04-25 00:38 |
| _version_ |
1764120344609685504 |
