Survey of bacteraemia in a Spanish hospital over a decade (1981-1990)

J Hosp Infect. 1994 Feb;26(2):111-21. doi: 10.1016/0195-6701(94)90053-1.

Abstract

The aetiology, epidemiology and in-vitro antibiotic susceptibility of bacteraemic isolates in a Spanish hospital, over a decade (1981-1990), were reviewed. A total of 4363 possible episodes were microbiologically confirmed (incidence: 15.7 cases per 1000 admissions). A slight increase in the number of Gram-positive cocci and anaerobes over the last 4 years was found. The most frequent species (annual range) were: Escherichia coli (13.5%-18.9%), Staphylococcus aureus (10.5%-17.8%), Klebsiella spp. (3.0%-9.4%), Enterococcus faecalis (3.0%-8.2%), Pseudomonas aeruginosa (2.5%-5.8%) and Streptococcus pneumoniae (1.8%-5.6%). Males were more affected than females (ratio 1.7:1). The portal of entry was known in 2126 episodes, of which the most frequent were urinary and gasto-intestinal tracts (24.4% and 19.4% respectively). Bacteraemia was associated with rapidly and ultimately fatal underlying diseases in 7.2% and 15.1% of the cases respectively. The hospital location of patients was: medical ward 46.0%, surgical ward 22.7%, paediatric ward 16.9%, and intensive care unit 14.4%.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bacteremia / blood
  • Bacteremia / drug therapy
  • Bacteremia / epidemiology*
  • Bacteremia / microbiology*
  • Bacteremia / prevention & control
  • Child
  • Child, Preschool
  • Comorbidity
  • Cross Infection / blood
  • Cross Infection / drug therapy
  • Cross Infection / epidemiology*
  • Cross Infection / microbiology*
  • Cross Infection / prevention & control
  • Data Collection
  • Drug Resistance, Microbial
  • Female
  • Hospitals, University
  • Humans
  • Incidence
  • Infant
  • Infant, Newborn
  • Infection Control*
  • Male
  • Middle Aged
  • Patient Admission / statistics & numerical data
  • Prevalence
  • Risk Factors
  • Sex Ratio
  • Spain / epidemiology