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Staphylococcal bacteraemia in Zimbabwe 1983.

M Mukonyora, E Mabiza, I M Gould

    The Journal of Infection
    |May 1, 1985
    PubMed
    Summary

    Staphylococcal sepsis in Zimbabwe is common, particularly in young patients with malnutrition or measles. High mortality rates are linked to hospital-acquired infections and delayed or inappropriate antibiotic treatment.

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    Area of Science:

    • Infectious Diseases
    • Clinical Microbiology
    • Public Health

    Background:

    • Staphylococcal bacteraemia is a significant cause of serious sepsis in Zimbabwe.
    • Understanding the current clinical spectrum is crucial for effective management.

    Purpose of the Study:

    • To assess the clinical spectrum of serious staphylococcal sepsis in Zimbabwe.
    • To identify risk factors for mortality and guide treatment strategies.

    Main Methods:

    • Retrospective review of 107 cases of staphylococcal bacteraemia.
    • Analysis of patient demographics, predisposing conditions, infection sources, metastatic spread, and treatment outcomes.

    Main Results:

    • 28% mortality rate observed.
    • Predisposing factors included prematurity, malnutrition, and measles, especially in young patients.
    • Hospital-acquired infections were associated with higher mortality.
    • Measles, malnutrition, and inappropriate antibiotic therapy were linked to death.
    • Metastatic infection was common, but endocarditis was rare.

    Conclusions:

    • Staphylococcal sepsis in Zimbabwe presents unique challenges, particularly in vulnerable populations.
    • Early and appropriate antibiotic therapy is critical for improving survival rates.
    • Addressing underlying conditions and combating antibiotic resistance are essential public health priorities.

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