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Focus of infection and microbiological etiology in community-acquired infections in hospitalized adult patients in the Faroe Islands

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dc.contributor Háskóli Íslands
dc.contributor University of Iceland
dc.contributor.author Todorovic Markovic, Marija
dc.contributor.author Pedersen, Court
dc.contributor.author Gottfredsson, Magnus
dc.contributor.author Todorović, Mirjana
dc.contributor.author Gaini, Shahin
dc.date.accessioned 2020-05-28T16:06:42Z
dc.date.available 2020-05-28T16:06:42Z
dc.date.issued 2019-01-07
dc.identifier.citation Todorovic Markovic, M., Pedersen, C., Gottfredsson, M. et al. Focus of infection and microbiological etiology in community-acquired infections in hospitalized adult patients in the Faroe Islands. BMC Infectious Diseases 19, 16 (2019). https://doi.org/10.1186/s12879-018-3650-3
dc.identifier.issn 1471-2334
dc.identifier.uri https://hdl.handle.net/20.500.11815/1862
dc.description Publisher's version (útgefin grein)
dc.description.abstract Background: The aim of the present study was to gain national data on the clinical and microbiological characteristics of community-acquired infections in the Faroe Islands and to compare these data with data from other geographical areas. Methods: A prospective, observational study involving all patients > = 16 years admitted at the Department of Medicine at the National Hospital, Torshavn, Faroe Islands from October 2013 until April 2015. Results: Of 5279 admissions, 1054 cases were with community-acquired infection and were included in the study. Out of these 1054 cases, 471 did not meet the criteria for SIRS (Systemic Inflammatory Response Syndrome), while the remaining 583 cases had sepsis. Mean age was 68 years. At least one comorbidity was found in 80% of all cases. Documented infections were present in 75%, and a plausible pathogen was identified in 29% of all cases. The most common gram-positive pathogen was Staphylococcus aureus, and the most frequent gram-negative pathogen was Escherichia coli. The most common focus of infection was lower respiratory tract, followed by urinary tract, and skin-soft tissue/bone-joint. Bacteremia was found in 10% of the cases. Conclusion: In community-acquired infections in hospitalized patients in the Faroe Islands the lower respiratory tract and the urinary tract were the most frequent foci of infection. Gram-negative pathogens and Escherichia coli were the most frequent pathogens in infection without Systemic Inflammatory Response Syndrome, in sepsis and in bacteremia. Our data on clinical characteristics and microbiological etiology provide new information which may be used to develop local guidelines for the managing of patients admitted with community-acquired infections.
dc.description.sponsorship This work was made possible by funding from the Research Council Faroe Islands (Grant number 0330) and the National Hospital of the Faroe Islands. The funders of this research had no role in the design of the study, the collection, analysis, and interpretation of data, or in writing the manuscript.
dc.format.extent 16
dc.language.iso en
dc.publisher Springer Science and Business Media LLC
dc.relation.ispartofseries BMC Infectious Diseases;19(1)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Infectious Diseases
dc.subject Community-acquired infection
dc.subject Etiology
dc.subject Focus of infection
dc.subject Sepsis
dc.subject Smitsjúkdómar
dc.subject Smitleiðir
dc.title Focus of infection and microbiological etiology in community-acquired infections in hospitalized adult patients in the Faroe Islands
dc.type info:eu-repo/semantics/article
dcterms.license Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.description.version Peer Reviewed
dc.identifier.journal BMC Infectious Diseases
dc.identifier.doi 10.1186/s12879-018-3650-3
dc.relation.url https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-018-3650-3
dc.contributor.department Læknadeild (HÍ)
dc.contributor.department Faculty of Medicine (UI)
dc.contributor.school Heilbrigðisvísindasvið (HÍ)
dc.contributor.school School of Health Sciences (UI)

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