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The British Journal of Diabetes & Vascular Disease
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Mortality rates in hospital patients with hyperglycaemia and MRSA bacteraemia

George I Varughese

University Department of Medicine — ASCOT Centre City Hospital, Dudley Road, Birmingham, B18 7QH, UK

Kostos Miltsios

Department of Anaesthesiology, Rochdale Infirmary, Whitehall Street, Rochdale, OL12 0NB, UK

Harit N Buch

Diabetes Centre, New Cross Hospital, Wolverhampton, WV10 0QP, UK

Jeorge M Orendi

Department of Microbiology, University Hospital of North Staffordshire

John Hb Scarpello

Department of Diabetes and Endocrinology, University Hospital of North Staffordshire, Stoke-on-Trent, ST4 6QG, UK, John.Scarpello{at}uhns.nhs.uk

Methicillin Resistant Staphylococcus Aureus (MRSA) infections in the hospital population have shown a dramatic increase. This pilot study determined whether random/fasting blood glucose measurements were performed on patients admitted to hospital with MRSA bacteraemia. We also examined mortality in relationship to hyperglycaemia, defined as random glucose ≥ 11 mmol/L. Retrospective data for all in-patients aged ≥ 16 years for the three years; 2000—2002 identified 309 patients with MRSA bacteraemia and all of them had laboratory blood glucose concentrations recorded on admission in all cases. A random blood glucose ≥ 11 mmol/L was noted in 129 (42%) patients of whom 82 (64%) died. The mortality was significantly more likely to be in the highest tertile (p<0.05) of blood glucose distributions.

Key Words: MRSA (Methicillin Resistant Staphylococcus Aureus) • diabetes • infection • mortality • hyperglycaemia • bacteraemia.

References

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The British Journal of Diabetes & Vascular Disease, Vol. 6, No. 1, 42-44 (2006)
DOI: 10.1177/14746514060060010501


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This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
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Services
Right arrow Email this article to a friend
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Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Varughese, G. I
Right arrow Articles by Scarpello, J. H.
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What's this?