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Review Article

Med Arch. 2012; 66(Supplement 1): 48-50


Staphylococcal Sepsis and Frequency of Metastatic Foci

Enra Lukovac, Nada Koluder-Cimic, Meliha Hadzovic-Cengic, Rusmir Baljic, Aida Ahmetspahic-Begic.

Abstract
Introduction: Staphylococcal sepsis is one of the most serious bacterial infections in the world, in most cases accompanied by metastatic foci in various organ systems. Objective: analyze the metastatic foci patients suffering from staphylococcal sepsis. Patients and methods: we analyzed the patients treated for staphylococcal sepsis during the ten year period. Results: 67 patients were included, of which 45 (67,2%) with the outpatient acquired infection and 22 (32.8%) hospital acquired. Male was present in higher percentage 58.2% and the average age of patients was 39 years. Meticillin-sensitive strains are present in 73.1% and resistant isolates in 26.9%. Chi square test of independence showed a dependence isolated pathogens in relation to the place of infection p=0,003. From the total number of metastatic foci, 39 was in the lung, 32 in the skin and subcutaneous tissue, 24 in the abdomen, 15 in the bones and joints, 11 heart and brain 2. Conclusion: The greatest number of metastases was in the lung. Significantly large number of patients had outpatient infection with predominance of meticillin sensitive strains while in hospital infections in a greater percentage were meticillin rezistent strains. Proven dependence of isolated pathogens in relation to the place of infection (outpatient/hospital).

Key words: staphylococci, sepsis, septic metastasis.



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