Document 0436
 DOCN  M9440436
 TI    Septicaemia in patients with and without AIDS at Westminster Hospital,
       London.
 DT    9404
 AU    Hickey MM; Shanson DC; Department of Medical Microbiology, Chelsea and
       Westminster; Hospital, London, U.K.
 SO    J Infect. 1993 Nov;27(3):243-50. Unique Identifier : AIDSLINE
       MED/94141241
 AB    The types of organism causing septicaemia in patients with AIDS and
       without AIDS at Westminster Hospital were examined prospectively over a
       period of 2 years (1990-1991). Altogether 417 episodes of septicaemia
       were diagnosed, 148 (35%) of which were in patients with AIDS. Of
       septicaemias in patients with AIDS, 53 (36%) were caused by
       mycobacteria. Non-mycobacterial septicaemias were associated with IV
       access devices in 58 (61%) of patients with AIDS and in 50 (19%) of
       those without AIDS. Gram-negative organisms were responsible for
       septicaemia associated with IV access devices in 16 (28%) of 58 patients
       with AIDS and in 8 (16%) of 50 patients without AIDS. Non-typhoidal
       Salmonella species or Shigella species caused 13 (31%) of 42 episodes of
       septicaemia caused by Gram-negative organisms in patients with AIDS.
       These findings have influenced the strategy for empirical therapy of
       septicaemia in patients with AIDS at Westminster Hospital.
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS/EPIDEMIOLOGY
       Bacteremia/*COMPLICATIONS/EPIDEMIOLOGY/*MICROBIOLOGY  Bacteria/ISOLATION
       & PURIF  Community-Acquired Infections/COMPLICATIONS/EPIDEMIOLOGY/
       MICROBIOLOGY  Comparative Study  Cross
       Infection/COMPLICATIONS/EPIDEMIOLOGY/MICROBIOLOGY
       Fungemia/*COMPLICATIONS/EPIDEMIOLOGY/MICROBIOLOGY  Fungi/ISOLATION &
       PURIF  Human  London/EPIDEMIOLOGY  Prospective Studies  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
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