Systemic inflammatory response syndrome in adult patients with nosocomial bloodstream infection due to Pseudomonas aeruginosa.

摘要

With great interest we read the article of Marra et al., dealing with 77 adults with P. aeruginosa to evaluate the associated systemic inflammatory response syndrome (SIRS), the clinical course and patient outcome. P. aeruginosa bacteraemia in critically ill patients is associated with increased risk for co-morbidity, prolonged hospital stay, increased health-care resource use, and higher in-hospital mortality.We agree to their findings in which they suggest that the outcome of P. aeruginosa BSI is more closely related to the underlying disease than it is to antibiotic resistance. Intravascular catheters were mentioned to be the most frequent potential factor predisposing bloodstream infection (BSI), and respiratory (31.2%) and central venous catheters (20.8%) were mentioned to be the most frequent source of BSI.