This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (10)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Associated Clinical Risk Factors

Jack D. McCue, MD

Arch Intern Med. 1985;145(5):834-836.

Abstract
• Among 185 patients with nonneutropenic, community-acquired gram-negative bacillary bacteremias, clinical risk factors for cefoxitin resistance included (1) any antibiotic taken within the last three weeks (25.6% cefoxitin resistance), (2) long-term bladder catheterization or surgical urinary diversion (23.3%), (3) hospitalization within the last 30 days (22.9%), and (4) nursing home residence before admission (20.8%). Patients with none of these risk factors were less likely to have cefoxitin-resistant bacteremias (0.9%). When these risk factors were examined in the subgroups of urinary tract and non—urinary tract sources of community-acquired gram-negative bacillary bacteremia, they were also helpful in predicting sensitivity to trimethoprim-sulfamethoxazole and gentamicin. The presence of one or more of the risk factors identified may be a useful adjunct in determining initial empiric antimicrobial therapy for community-acquired gram-negative bacillary bacteremia.

(Arch Intern Med 1985;145:834-836)

Author Affiliations
From the Section on General Medicine and Geriatrics, The Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC (Dr McCue).

Footnotes
Accepted for publication Oct 17,1984.

Reprint requests to Section on General Medicine and Geriatrics, The Bowman Gray School of Medicine of Wake Forest University, 300 S Hawthorne Rd, Winston-Salem, NC 27103 (Dr McCue).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?