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Enterococcal bacteremia without endocarditis.

D M Shlaes, J Levy, E Wolinsky

    Archives of Internal Medicine
    |April 1, 1981
    PubMed
    Summary

    Enterococcal bacteremia, a bloodstream infection, occurred in 74 patients without endocarditis. Mortality was 34%, particularly high in hospital-acquired infections and immunocompromised individuals.

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    Area of Science:

    • Infectious Diseases
    • Clinical Microbiology
    • Epidemiology

    Background:

    • Enterococcal bacteremia is a significant bloodstream infection.
    • Endocarditis is a known complication, but cases without it require separate analysis.
    • Understanding sources and outcomes is crucial for patient management.

    Purpose of the Study:

    • To retrospectively review cases of enterococcal bacteremia without endocarditis.
    • To identify common sources of infection and associated patient factors.
    • To determine the overall mortality and factors influencing it.

    Main Methods:

    • Retrospective chart review of 74 patients with enterococcal bacteremia.
    • Data collected included patient demographics, underlying conditions, infection source, and outcomes.
    • Analysis of mortality rates and correlation with specific patient characteristics.

    Main Results:

    • The urinary tract was the most common source of infection.
    • Hospital-acquired infections and serious underlying diseases were prevalent.
    • Overall mortality was 34%, with increased risk in immunocompromised patients and those with hospital-acquired infections.

    Conclusions:

    • Enterococcal bacteremia without endocarditis carries a substantial mortality risk.
    • Prompt identification of infection sources and management of underlying conditions are vital.
    • Further research into specific treatment strategies may improve outcomes.

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