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Summary: The incidence, epidemiological, clinical and laboratory
aspects of bacteremia and sepsis are analysed in patients admitted to
University Hospital of Infectious Disease "Dr. Fran Mihaljević", Zagreb.
The difference in incidence of particular pathogens of bacteremia, their
sensitivity and changes in sensitivity to the most frequent administered
antibiotics, and changes in incidence of multiploresistant species are
reviewed. Possible differences in efficacy of prompt (always empirical) and
delayed therapy in the treatment of patients with divers bacteremia, and
the influence of prompt therapy to development of septic shock are studied,
too. Results of this contininued research will be useful in making an
approach of initial empirical antimicrobial therapy and also in making a
decision is there has to be administered a prompt therapy of we can wait
for the first results of microbiological testings at specific patients with
sepsis or suspected bacteremia.
Research goals: 1. To determine eventual difference in efficacy of
prompt and delayed antimicrobial treatment in patients with all kinds of
bacteremia. 2. To determine eventual influence of prompt antimicrobial
treatment to development of septic shock. 3. To determine antimicrobial
sensitivity of particular pathogen of bacteremia to the most frequent
administered antimicrobial drug, to study eventual changes of frequency of
organisms resistant to some antimicrobial drugs and changes of frequency of
multiploresistant organisms. Results of this continued research will be
useful in making an approach to initial empirical antimicrobial therapy and
also in making a decision is there has to be administered a prompt therapy
or we can wait for the first results of microbiological testing at specific
patients with sepsis or suspected bacteremia. Other information about the project.