Health CareAssociated Bloodstream Infections
Authors: Nicola M. Zetola
Journal: Annals of Internal Medicine (2003)

Letters5 August 2003Health Care–Associated Bloodstream InfectionsNicola M. Zetola, MDNicola M. Zetola, MDJohns Hopkins University School of Medicine; Baltimore, MD 21287 (Zetola)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-139-3-200308050-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In a very ambitious study, Friedman and colleagues (1) suggested that empirical antibiotic therapy should be similar for patients with known or suspected health care–associated bloodstream infections and those with nosocomial bloodstream infections. Although the concept of community needs to be reformulated, it is still too early to make such a categorical affirmation.It is notable that around 50% of the health care–associated and nosocomial bloodstream infections in Friedman and colleagues' study were associated with intravascular devices, producing a high rate of methicillin-resistant Staphylococcus aureus infection in both groups. According to previous studies, patients from the community ...References1. Friedman ND, Kaye KS, Stout JE, McGarry SA, Trivette SL, Briggs JP, . Health careassociated bloodstream infections in adults: a reason to change the accepted definition of community-acquired infections. Ann Intern Med. 2002;137:791-7. [PMID: 12435215] LinkGoogle Scholar2. Steinberg JP, Clark CC, Hackman BO. Nosocomial and community-acquired Staphylococcus aureus bacteremias from 1980 to 1993: impact of intravascular devices and methicillin resistance. Clin Infect Dis. 1996;23:255-9. [PMID: 8842259] CrossrefMedlineGoogle Scholar3. Safdar N, Maki DG. The commonality of risk factors for nosocomial colonization and infection with antimicrobial-resistant Staphylococcus aureus, enterococcus, gram-negative bacilli, Clostridium difficile, and Candida . Ann Intern Med. 2002;136:834-44. [PMID: 12044132] LinkGoogle Scholar4. Blot S, Vandewoude K, De Bacquer D, Colardyn F. Nosocomial bacteremia caused by antibiotic-resistant gram-negative bacteria in critically ill patients: clinical outcome and length of hospitalization. Clin Infect Dis. 2002;34:1600-6. [PMID: 12032895] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Nicola M. Zetola, MDAffiliations: Johns Hopkins University School of Medicine; Baltimore, MD 21287 (Zetola) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Commonality of Risk Factors for Nosocomial Colonization and Infection with Antimicrobial-Resistant Staphylococcus aureus, Enterococcus, Gram-Negative Bacilli, Clostridium difficile, and Candida Nasia Safdar and Dennis G. Maki Health Care–Associated Bloodstream Infections in Adults: A Reason To Change the Accepted Definition of Community-Acquired Infections N. Deborah Friedman , Keith S. Kaye , Jason E. Stout , Sarah A. McGarry , Sharon L. Trivette , Jane P. Briggs , Wanda Lamm , Connie Clark , Jennifer MacFarquhar , Aaron L. Walton , L. Barth Reller , and Daniel J. Sexton Health Care–Associated Bloodstream Infections Keith S. Kaye , N. Deborah Friedman , and Daniel J. 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