Systemic Inflammatory Response Syndrome in Nosocomial Bloodstream Infections with Pseudomonas aeruginosa and Enterococcus Species: Comparison of Elderly and Nonelderly Patients

OBJECTIVES: To determine whether the systemic inflammatory response syndrome (SIRS), clinical course, and outcome of monomicrobial nosocomial bloodstream infection (BSI) due to Pseudomonas aeruginosa or Enterococcus spp. is different in elderly patients than in younger patients. DESIGN: Historical c...

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Veröffentlicht in:	Journal of the American Geriatrics Society (JAGS) 2006-05, Vol.54 (5), p.804-808
Hauptverfasser:	Marra, Alexandre R., Bar, Katharine, Bearman, Gonzalo M. L., Wenzel, Richard P., Edmond, Michael B.
Format:	Artikel
Sprache:	eng
Schlagworte:	Age differences Age Factors Aged Bacteremia - complications Bacteremia - mortality Bacteremia - therapy Bacteria Bacterial diseases Bacterial sepsis Biological and medical sciences Blood bloodstream infection Comparative studies Critical Care elderly patients Enterococcus Enterococcus spp Female General aspects Gram-Positive Bacterial Infections - complications Gram-Positive Bacterial Infections - mortality Gram-Positive Bacterial Infections - therapy Hospital Mortality Human bacterial diseases Humans Infections Infectious diseases Length of Stay Male Medical sciences Middle Aged Mortality Older people Outcome Assessment (Health Care) Pseudomonas aeruginosa Pseudomonas Infections - complications Pseudomonas Infections - mortality Pseudomonas Infections - therapy SIRS Systemic Inflammatory Response Syndrome - microbiology Systemic Inflammatory Response Syndrome - mortality Systemic Inflammatory Response Syndrome - therapy
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Zusammenfassung:	OBJECTIVES: To determine whether the systemic inflammatory response syndrome (SIRS), clinical course, and outcome of monomicrobial nosocomial bloodstream infection (BSI) due to Pseudomonas aeruginosa or Enterococcus spp. is different in elderly patients than in younger patients. DESIGN: Historical cohort study. SETTING: An 820‐bed tertiary care facility. PARTICIPANTS: One hundred twenty‐seven adults with P. aeruginosa or enterococcal BSI. MEASUREMENTS: SIRS scores were determined 2 days before the first positive blood culture through 14 days afterwards. Elderly patients (≥65, n=37) were compared with nonelderly patients (
ISSN:	0002-8614 1532-5415
DOI:	10.1111/j.1532-5415.2006.00698.x