Occurrence of bacteremia in hematologic patients

Eur J Epidemiol. 1992 Sep;8(5):687-92. doi: 10.1007/BF00145385.

Abstract

In the present study we reviewed eighty-six episodes of bacteremia occurred in 60 neutropenic patients and thirty-one episodes occurred in 30 non-neutropenic patients. Twenty-four out of 60 neutropenic patients suffered from multiple episodes of bacteremia, while only one out of 30 non-neutropenic patients presented multiple episodes. In neutropenic patients, 29 episodes of bacteremia were polymicrobial, whereas only one non-neutropenic patient had polymicrobial bacteremia. Intravascular catheters were the most common source of bacteremia (23.2%) in neutropenic patients, as compared with infections of the genito-urinary tract (45.1%) among non-neutropenic patients. In both groups, aerobic gram-positive cocci were the microorganisms most frequently isolated (71.6%). Anaerobic microorganisms showed an higher incidence in polymicrobial episodes than in monomicrobial episodes x 2 = 5.39 p = 0.02 OR = 2.97 95% CI (1.2-7.7).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bacteremia / complications*
  • Bacteremia / microbiology
  • Bone Marrow Transplantation
  • Catheterization / adverse effects
  • Ciprofloxacin / therapeutic use
  • Female
  • Female Urogenital Diseases / microbiology
  • Hodgkin Disease / complications
  • Humans
  • Leukemia / complications*
  • Leukemia / drug therapy
  • Lymphoma / complications*
  • Lymphoma / drug therapy
  • Lymphoma, Non-Hodgkin / complications
  • Male
  • Male Urogenital Diseases
  • Middle Aged
  • Neutropenia / complications
  • Odds Ratio
  • Ofloxacin / therapeutic use
  • Risk Factors
  • Staphylococcal Infections / complications
  • Staphylococcus epidermidis / isolation & purification

Substances

  • Ciprofloxacin
  • Ofloxacin