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The Microbiology and Outcome of Sepsis in Victoria, Australia

V. Sundararajan, T. Korman, C. MacIsaac, J. J. Presneill, J. F. Cade and K. Visvanathan
Epidemiology and Infection
Vol. 134, No. 2 (Apr., 2006), pp. 307-314
Stable URL: http://www.jstor.org/stable/3865634
Page Count: 8
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Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
The Microbiology and Outcome of Sepsis in Victoria, Australia
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Abstract

We analysed data from 33 741 patients with ICD-10-AM-defined sepsis from an Australian hospital morbidity dataset to investigate the relationships between specific types of organisms, potential risk factors for infection, organ dysfunction, ICU utilization and hospital mortality. A total of 24% of patients received some of their care in an intensive care unit, and the overall hospital mortality rate was 18%. Gram-positive bacteria were isolated in 27% of cases and Gram-negative bacteria in 20%. Sepsis due to Staphylococcus aureus was associated with vascular and joint devices whereas Pseudomonas aeruginosa and Gram-negative rods were more common with genitourinary devices and lymphoproliferative disease. Sepsis-associated organ dysfunction most commonly involved the respiratory system, followed by the renal and circulatory systems. These patterns may provide useful clues to the pathogenesis and therapy of this often fatal syndrome which is a major ongoing problem for hospitalized patients.

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