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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.
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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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