Community-acquired bloodstream infections in children > one month old in southern Israel (1992–2001): Epidemiological, clinical and microbiological aspects Academic Article uri icon

abstract

  • We studied the epidemiology, microbiology, clinical picture and outcome of community-acquired bloodstream infections (CABI) in children in southern Israel during 1992–2001. Information was collected prospectively by daily surveillance. CABI was diagnosed when a positive blood culture was reported in a patient discharged from the emergency room or during <48 h since admission if hospitalized. There were 1439 CABI episodes in 1396 children aged 1 month to 14 y. CABI incidence was 100/100,000 children with no increase during the study period. Risk of CABI was 3.8 times higher in a Bedouin than in a Jewish child. 1561 bacteria (793, 50%, Gram-positive and 768, 49% Gram-negative organisms, respectively) and 13 fungi were recovered. Most frequent Gram-positive organisms were Streptococcus pneumoniae (509 isolates, 32% of all isolates, 64% of all Gram-positive), Staphylococcus aureus (137, 9%, 17%) and Streptococcus pyogenes (46, 3%, 6%). Enterobacteriaceae spp. were the most frequent Gram-negative pathogens (27...

publication date

  • January 1, 2006