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• W2099208307 abstract "High mortality in polymicrobial bloodstream infections has been sporadically noted in the U.S. medical literature since the 1960s. Few studies provided comparative data, but those that did showed case mortality in polymicrobial infections roughly twice that in monomicrobial infections [ 1 Hermans P.E. Washington 2nd, J.A. Polymicrobial bacteremia. Ann Intern Med. 1970; 73: 387-392 Crossref PubMed Scopus (75) Google Scholar , 2 Kiani D. Quinn E.L. Burch K.H. Madhavan T. Saravolatz L.D. Neblett T.R. The increasing importance of polymicrobial bacteremia. JAMA. 1979; 242: 1044-1077 Crossref PubMed Scopus (82) Google Scholar , 3 Weinstein M.P. Reller L.B. Murphy J.R. Clinical importance of polymicrobial bacteremia. Diagn Microbiol Infect Dis. 1986; 5: 185-196 Abstract Full Text PDF PubMed Scopus (57) Google Scholar ]. Authors reported that the percentage of bloodstream infections that was polymicrobial was increasing [ [2] Kiani D. Quinn E.L. Burch K.H. Madhavan T. Saravolatz L.D. Neblett T.R. The increasing importance of polymicrobial bacteremia. JAMA. 1979; 242: 1044-1077 Crossref PubMed Scopus (82) Google Scholar ], that polymicrobial bloodstream infections were typically nosocomial [ [3] Weinstein M.P. Reller L.B. Murphy J.R. Clinical importance of polymicrobial bacteremia. Diagn Microbiol Infect Dis. 1986; 5: 185-196 Abstract Full Text PDF PubMed Scopus (57) Google Scholar ], and that mortality was higher in nosocomial than community-acquired polymicrobial bloodstream infections [ [4] Mackowiak P.A. Browne R.H. Southern Jr., P.M. Smith J.W. Polymicrobial sepsis: an analysis of 184 cases using log linear models. Am J Med Sci. 1980; 280: 73-80 Crossref PubMed Scopus (78) Google Scholar ]. The higher mortality in polymicrobial bloodstream infections was reported to be associated with inappropriate therapy [ 5 Roselle G.A. Watanakunakorn C. Polymicrobial bacteremia. JAMA. 1979; 242: 2411-2413 Crossref PubMed Scopus (57) Google Scholar , 6 Elting L.S. Bodey G.P. Fainstein V. Polymicrobial septicemia in the cancer patient. Medicine. 1986; 65: 218-225 Crossref PubMed Scopus (79) Google Scholar ], absence of fever [ 3 Weinstein M.P. Reller L.B. Murphy J.R. Clinical importance of polymicrobial bacteremia. Diagn Microbiol Infect Dis. 1986; 5: 185-196 Abstract Full Text PDF PubMed Scopus (57) Google Scholar , 4 Mackowiak P.A. Browne R.H. Southern Jr., P.M. Smith J.W. Polymicrobial sepsis: an analysis of 184 cases using log linear models. Am J Med Sci. 1980; 280: 73-80 Crossref PubMed Scopus (78) Google Scholar ], and a variety of microbiologic and clinical factors [ 7 Reuben A.G. Musher D.M. Hamill R.J. Broucke I. Polymicrobial bacteremia: clinical and microbiologic patterns. Rev Infect Dis. 1989; 11: 161-183 Crossref PubMed Scopus (67) Google Scholar , 8 Cooper G.S. Havlir D.S. Shlaes D.M. Salata R.A. Polymicrobial bacteremia in the late 1980s: predictors of outcome and review of the literature. Medicine. 1990; 69: 114-123 Crossref PubMed Scopus (66) Google Scholar ]. A spike of interest in the late 1980s seems to have prompted slightly improved reporting in the early and mid 1990s (see Fig. 1), but the topic itself almost disappeared from discussion, and interest has not yet revived. For instance, a report on nosocomial bloodstream infections in U.S. hospitals in 1995–2002 included data that suggests the case-mortality gap between polymicrobial and monomicrobial infections may have narrowed, relative to the studies cited above–partly through increased mortality in monomicrobial infections–but again the topic was not mentioned [ [9] Wisplinghoff H. Bischoff T. Tallent S.M. Seifert H. Wenzel R.P. Edmond M.B. Nosocomial bloodstream infections in U.S. hospitals: analysis of 24,179 cases from a prospective nationwide surveillance study. Clin Infect Dis. 2004; 39: 309-317 Crossref PubMed Scopus (3357) Google Scholar ]." @default.
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