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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:dateCreated |
1990-7-11
|
| pubmed:abstractText |
In a five-year prospective study of blood culture-positive septicaemia in a Hong Kong teaching hospital there were 2211 clinically-significant episodes, of which 16% occurred in children less than 15 years old. The microbiology and clinical features were broadly similar to those seen in Europe and North America, but with some important differences. Two-thirds of episodes were community-acquired. The most common organism isolated from community-acquired septicaemias was Escherichia coli and the source, most commonly, the urinary tract. However, the biliary tract was the second most common source of community-acquired infection (25%), reflecting the frequency of liver disease in Hong Kong. Three per cent of community-acquired septicaemias were associated with endocarditis; half of these were with viridans streptococci, usually in patients with rheumatic heart disease, and 40% were in drug addicts with methicillin-sensitive Staphylococcus aureus. The commonest organisms causing community-acquired childhood infections were Salmonella spp. (27%) and Streptococcus pneumoniae (22%), whereas pneumococci accounted for only 3% of adult community-acquired micro-organisms. Haemophilus influenzae infections were uncommon and there was no case of meningococcal or gonococcal septicaemia. The commonest cause of hospital-acquired septicaemia was Staph. aureus (24%), of which 46% were methicillin-resistant. The characteristics of septicaemia in Hong Kong are influenced by the patient population structure, endemic disease patterns, local medical practice and socio-economic factors, but the rarity of Str. pneumoniae in adults and of H. influenzae and Neisseria meningitidis in children is unexplained.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Apr
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| pubmed:issn |
0305-7453
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
25 Suppl C
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
115-25
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| pubmed:dateRevised |
2006-11-15
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| pubmed:meshHeading |
pubmed-meshheading:2347772-Adolescent,
pubmed-meshheading:2347772-Adult,
pubmed-meshheading:2347772-Age Factors,
pubmed-meshheading:2347772-Aged,
pubmed-meshheading:2347772-Aged, 80 and over,
pubmed-meshheading:2347772-Bacteria, Anaerobic,
pubmed-meshheading:2347772-Child,
pubmed-meshheading:2347772-Child, Preschool,
pubmed-meshheading:2347772-Cross Infection,
pubmed-meshheading:2347772-Fungi,
pubmed-meshheading:2347772-Gram-Negative Aerobic Bacteria,
pubmed-meshheading:2347772-Gram-Positive Bacteria,
pubmed-meshheading:2347772-Hong Kong,
pubmed-meshheading:2347772-Hospitals, Teaching,
pubmed-meshheading:2347772-Humans,
pubmed-meshheading:2347772-Infant,
pubmed-meshheading:2347772-Middle Aged,
pubmed-meshheading:2347772-Prospective Studies,
pubmed-meshheading:2347772-Risk Factors,
pubmed-meshheading:2347772-Sepsis
|
| pubmed:year |
1990
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| pubmed:articleTitle |
Septicaemia in Hong Kong.
|
| pubmed:affiliation |
Department of Microbiology, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, New Territories.
|
| pubmed:publicationType |
Journal Article
|