Complications of Staphylococcus aureus bacteremia. Occurrence in patients undergoing long-term hemodialysis

Details

Serval ID
serval:BIB_3E3D768AD1ED
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Complications of Staphylococcus aureus bacteremia. Occurrence in patients undergoing long-term hemodialysis
Journal
Archives of Internal Medicine
Author(s)
Francioli  P., Masur  H.
ISSN
0003-9926 (Print)
Publication state
Published
Issued date
09/1982
Volume
142
Number
9
Pages
1655-8
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Sep
Abstract
Since staphylococcus aureus bacteremia continues to be a common occurrence in patients with arteriovenous fistulas who are undergoing long-term hemodialysis, the complications and outcome of 37 episodes of bacteremia were examined. Systemic complications included pulmonary emboli, empyema, persistent bacteremia, and endocarditis. Such events were rarely life threatening--three of the 34 episodes involving patients without severe concurrent medical problems resulted in death. Local complications at the fistula site were common; however, thrombosis, hemorrhage, impending rupture, and persistent bacteremia caused loss of fistula in 13 of the 22 episodes seen with fistula inflammation. Results of this study demonstrate that, although loss of vascular access was an important problem, particularly in patients with prosthetic grafts, patients with S aureus bacteremia who were undergoing long-term hemodialysis had a favorable prognosis for survival, particularly when they were compared with other patients not undergoing hemodialysis.
Keywords
Adolescent Adult Aged Arteriovenous Shunt, Surgical/*adverse effects Empyema/etiology Endocarditis, Bacterial/etiology Humans Kidney Failure, Chronic/complications/therapy Middle Aged Pulmonary Embolism/etiology Renal Dialysis/*adverse effects Sepsis/*complications Staphylococcal Infections/*complications Surgical Wound Infection/complications
Pubmed
Web of science
Create date
25/01/2008 17:08
Last modification date
20/08/2019 13:34
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