Analysis of the Results of Blood Cultures, 1984~1987 at Yeungnam University Hospital.
10.12701/yujm.1988.5.1.49
- Author:
Chung Sook KIM
;
Chae Hoon LEE
;
Myung Sook CHOI
;
Chang Ho CHEON
;
Kyung Dong KIM
- Publication Type:Original Article
- MeSH:
Acinetobacter;
Aeromonas hydrophila;
Ampicillin;
Anti-Infective Agents;
Bacteremia;
Burkholderia cepacia;
Cross Infection;
Enterobacteriaceae;
Escherichia coli;
Glucose;
Gram-Positive Cocci;
Humans;
Incidence;
Prevalence;
Pseudomonas;
Pseudomonas aeruginosa;
Salmonella paratyphi A;
Salmonella typhi;
Serratia;
Staphylococcus aureus;
Staphylococcus epidermidis;
Streptococcus
- From:Yeungnam University Journal of Medicine
1988;5(1):49-60
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Reviewing the results of the blood cultures performed at Yeungnam University Hospital during 4-year-period through January, 1, 1984 to December 31, 1987, the following results were obtained. 1) Out of 8083 blood specimens cultured microorganisms grew in 582 specimens with positivity rate of 7.20%. Polymicrobial bacteremia was found in 16 patients. 2) Among 582 positive specimens, Gram-positive cocci grew in 189 specimens, and Gram-negative bacilli, in 393 specimens. Clinically significant microorganisms consisted of 82 Staphylococcus aureus, and 20 Streptococcus species in Gram-positive cocci group, 80 Salmonella typhi, 72 Escherichia coli, 72 Salmonella paratyphi A in Enterobacteriaceae, and 46 Pseudomonas cepacia, and 16 Pseudomonas aeruginosa in glucose non-fermenting microorganisms. 3) Increasing incidence of Serratia, Acinetobacter and Pseudomonas species as major nosocomial infection source is noteworthy. They showed increased tendency from 6.3% of 1984 to 17.7% of 1987 of total positive blood cultures. 4) High isolation rate of Pseudomonas species and Aeromonas hydrophila was noted in summer, while Salmonella typhi showed high prevalence from May to September and in January. 5) In susceptibility tests of isolated organisms, staphylococcus aureus was sensitive to basic antimicrobial agents except for ampicillin. The glucose non-fermenting microorganisms showed high resistance to basic antimicrobial agents in 32.2%. In conclusion, considering the relatively higher incidence of growth of Staphylococcus epidermidis than ideal level indicates that sampling technique should be improved. Secondly, all the hospital staffs in cooperation with Hospital Infection Committee are desirable to pay efforts to decrease the nosocomial infection.
