Bacteraemia in severely malnourished children
| Autor: | Friedland Ir |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
congenital
hereditary and neonatal diseases and abnormalities Pediatrics medicine.medical_specialty 030231 tropical medicine Bacteremia Protein-Energy Malnutrition 03 medical and health sciences 0302 clinical medicine Enterobacteriaceae Risk Factors hemic and lymphatic diseases 030225 pediatrics medicine Humans Prospective Studies Intensive care medicine Prospective cohort study Child Candida Cross Infection business.industry Kwashiorkor Case-control study food and beverages nutritional and metabolic diseases Infant Drug Resistance Microbial bacterial infections and mycoses medicine.disease Malnutrition El Niño Relative risk Case-Control Studies Child Preschool Pediatrics Perinatology and Child Health Marasmus business |
| Zdroj: | Annals of tropical paediatrics. 12(4) |
| ISSN: | 0272-4936 |
| Popis: | During a 2-year period, 792 severely malnourished children (kwashiorkor, marasmus and marasmic kwashiorkor) were hospitalized (14.8% of all admissions). Community-acquired bacteraemia was recorded in 7.7% and nosocomial bacteraemia in 2.2% of malnourished children. The relative risk for bacteraemia on admission was 1.6 (95% confidence interval [CI] 1.3-1.9) and 2.0 for nosocomial bacteraemia (95% CI 1.4-3.0) in malnourished children as compared with well nourished children. Bacteraemia was 3.5 times more common in children with kwashiorkor than in marasmic children. Gram-negative enteric aerobes were isolated 2.6 times more frequently from malnourished than from well nourished children. The relative risk of death in malnourished children with bacteraemia was 2.5 times that of malnourished children without bacteraemia. Thirty-six per cent of deaths in children with kwashiorkor were related to bacteraemia. This study emphasizes the increased risk of bacteraemia in malnourished children, particularly those with kwashiorkor, and the impact on mortality. |
| Databáze: | OpenAIRE |
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