Bacteriology of @entity281 in severe acute XXXX .

@entity1 @entity788 @entity353 @entity794 @entity281 @entity325 @entity581 @entity526
CONTEXT: Severe acute @entity788 is associated with high mortality with infectious complications being the most common cause of mortality. OBJECTIVE: To analyze the prevalence and characteristics of @entity788 in @entity1 with severe acute @entity788 . DESIGN: Prospective study over a one-year period. @entity1 : Fifty-one consecutive @entity1 with severe acute @entity788 . Setting Tertiary care centre, Northern India. MAIN OUTCOME MEASURES: The presence of @entity788 were noted in consecutive @entity1 with severe acute @entity788 and their effect on disease outcome was assessed. RESULTS: @entity788 was noted in 19 (37.3%) @entity1 ; 14 (27.5%) @entity1 had monomicrobial and 5 (9.8%) @entity1 had @entity325 . In the first week of hospitalization, all positive 6/6 (100%) cultures grew @entity526 , in the second week 5/8 (62.5%) grew @entity526 while after the second week, 2/5 (40.0%) cultures grew @entity526 . A total of 32 (62.7%) @entity1 had evidence of extrapancreatic @entity281 , with 53 positive cultures. Fifteen (29.4%) @entity1 had monomicrobial @entity281 while 17 (33.3%) had @entity325 . The most common site was blood together with intravenous site with 21 positive cultures in 16 @entity1 . @entity794 was most commonly isolated in the blood cultures. There was a statistically significant increase in mortality with @entity353 . The antibiotic sensitivity pattern showed that most of the bacteria were sensitive to beta lactum antibiotics, @entity581 and imipenem. CONCLUSION: @entity788 are more often monomicrobial with a shift from gram-negative to gram-positive as the @entity788 progressed. @entity281 are more often polymicrobial; most commonly, the blood stream is invaded by gram-positive bacteria.
