Septicemia developed in 34 patients per 10,000 admissions to a community hospital during 1970 through 1973. Two thirds of the 207 patients had community-acquired septicemia, and one third had nosocomial septicemia. Septicemia-related mortality was 20.3%. Mortality and incidence of septicemia was substantially higher in patients with ultimately fatal and rapidly fatal underlying diseases. Septicemia was associated with shock in 9.7% of the patients. Foley catheterization and prophylactic antibiotic therapy could not be implicated as major risk factors for the development of septicemia. This study shows an incidence of Gram-negative bacteremia, septic shock, and mortality substantially less than that described in published data from noncommunity hospitals.
(JAMA 237:1938-1941, 1977)
Scheckler WE. Septicemia in a Community Hospital 1970 Through 1973. JAMA. 1977;237(18):1938–1941. doi:10.1001/jama.1977.03270450028014
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