Document 0996
 DOCN  M94A0996
 TI    Nosocomial infections (NI) in AIDS patients (pts).
 DT    9412
 AU    Yangco BG; Ricchezza CE; Cancela JA; Aadland RA; St. Joseph's Hospital
       Infectious Disease Research Institute,; Tampa, FL 33614.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):232 (abstract no. PB0940). Unique
       Identifier : AIDSLINE ICA10/94371579
 AB    OBJECTIVE: The purpose of this study is 1) to determine the type and
       rate of NI occurring among AIDS pts. and 2) to identify the risk factors
       predisposing to these infections. METHODS: This is a prospective study
       involving all pts. admitted to the Infectious Disease Unit 4NB
       established in 3/93 to provide care for AIDS pts. Demographics, HIV
       associated disease, other underlying illnesses and therapy were
       collected. RESULTS: A total of 113 pts. (155 admissions) were seen from
       3/8/93 to 2/15/94; 87 males and 26 females, age 17-59 years (mean 35
       years). There were 17 NI noted in 12 pts.: respiratory 6--upper 3
       (1.9%), lower 3 (1.9%); bacteremia 3 (1.9%); cutaneous 3 (1.9%); urinary
       2 (1.3%); surgical site 2--deep 1 (0.6%) organ space 1 (0.6%) and
       gastrointestinal 1 (0.6%). Five pts. had more than one NI.
       Staphylococcus aureus, Pseudomonas aeruginosa and Enterococcus faecalis
       were the most common organisms noted. The overall NI was 10.9%. The
       average length of stay of infected vs. overall were 20 days (5-46) and
       11 days (1-59). Risk factors such as malnutrition, steroids and vascular
       access device were not significantly different between infected and
       uninfected pts. CONCLUSION: AIDS pts. are at risk for NI. NI contributes
       to the morbidity and significantly increases the length of
       hospitalization of AIDS pts. Our study did not identify any significant
       predisposing risk factors for NI among AIDS pts.
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS  Adolescence  Adult
       Cross Infection/*TRANSMISSION  Enterococcus faecalis  Female
       Gram-Positive Bacterial Infections/TRANSMISSION  Human  Male  Middle Age
       Prospective Studies  Pseudomonas Infections/TRANSMISSION  Risk Factors
       Staphylococcal Infections/TRANSMISSION  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).