caa a22 4500 475831675 CHVBK 20180406123841.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s100960000396 doi (NATIONALLICENCE)springer-10.1007/s100960000396 Seven-Year Study of Bacteraemic Pneumonia in a Single Institution [Elektronische Daten] [J. Bishara, L. Leibovici, S. Ashkenazi, Z. Samra, S. Pitlik]  In order to enhance current knowledge of nosocomial and community-acquired bacteraemic pneumonia in a single tertiary hospital in Israel, a 7-year study was conducted. Using a computerised database, all patients who had bacteraemic pneumonia from March 1988 to August 1995 were studied. During the study period, pneumonia was the source of bacteraemia in 319 of 4,548 (7%) episodes, occurring in 295 patients; 211 (66%) episodes were community-acquired and 108 (34%) were nosocomial. The microoroganisms isolated most frequently from patients with community-acquired bacteraemic pneumonia were Streptococcus pneumoniae (46%), Staphylococcus aureus (10%) and Haemophilus influenzae (8%); while Pseudomonas spp. (17%), Klebsiella spp. (11%) and Staphylococcus aureus (10%) were isolated most often from the patients with nosocomial bacteraemic pneumonia. The median age of patients was 68 years (range, 0.003-100). The overall mortality was 34%. No significant difference was found between the mortality rates of patients with community-acquired (31%) and nosocomial (40%) bacteraemic pneumonia (P=0.1). Multivariate analysis showed that hypothermia, respiratory failure, impaired consciousness, tracheal intubation, Staphylococcus aureus aetiology, septic shock, inappropriate empiric antibiotic treatment and age significantly increased mortality. Springer-Verlag Berlin Heidelberg, 2000 Bishara J. Department of Internal Medicine "C", Rabin Medical Centre, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel e-mail: bishara@netvision.net.il Tel.: +972-3-9376301 Fax: +972-3-9221605, IL aut Leibovici L. Department of Internal Medicine "C", Rabin Medical Centre, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel e-mail: bishara@netvision.net.il Tel.: +972-3-9376301 Fax: +972-3-9221605, IL aut Ashkenazi S. Department of Pediatrics "A", Schneider Children's Medical Centre of Israel, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel e-mail: ashai@post.tau.ac.il, IL aut Samra Z. Microbiology Laboratory, Rabin Medical Centre, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel, IL aut Pitlik S. Department of Internal Medicine "C", Rabin Medical Centre, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel e-mail: bishara@netvision.net.il Tel.: +972-3-9376301 Fax: +972-3-9221605, IL aut https://doi.org/10.1007/s100960000396 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s100960000396 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bishara J. Department of Internal Medicine "C", Rabin Medical Centre, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel e-mail: bishara@netvision.net.il Tel.: +972-3-9376301 Fax: +972-3-9221605, IL aut NATIONALLICENCE 700 1- Leibovici L. Department of Internal Medicine "C", Rabin Medical Centre, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel e-mail: bishara@netvision.net.il Tel.: +972-3-9376301 Fax: +972-3-9221605, IL aut NATIONALLICENCE 700 1- Ashkenazi S. Department of Pediatrics "A", Schneider Children's Medical Centre of Israel, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel e-mail: ashai@post.tau.ac.il, IL aut NATIONALLICENCE 700 1- Samra Z. Microbiology Laboratory, Rabin Medical Centre, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel, IL aut NATIONALLICENCE 700 1- Pitlik S. Department of Internal Medicine "C", Rabin Medical Centre, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel e-mail: bishara@netvision.net.il Tel.: +972-3-9376301 Fax: +972-3-9221605, IL aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer