Author Interviews, Infections, PLoS / 22.12.2014
Bloodstream Infections Vary by Geography
MedicalResearch.com Interview with:
Leonard A. Mermel DO FACP, FIDSA, FSHEA
Professor of Medicine,
Warren Alpert Medical School of Brown University and Division of Infectious Diseases,
Rhode Island Hospital Providence, Rhode Island
Medical Research: What is the background for this study? What are the main findings?
Dr. Mermel: While talking to infectious diseases physicians some years ago in Israel, Greece, and Thailand, I learned that unlike my experiene here in the US, most of the bloodstream infections they see are far and away due to Gram-negative bacteria. So, a hypothesis was generated, namely that the likelihood of Gram-negative bacteremia compared to Gram-positive bacteremia was greater the closer to the equator. A writing group was formed, colleagues around the world graciously shared their data. The main finding is that in fact, we unequivocally found that the likelihood of Gram-negative, compared to Gram-positive bacteremia is more common closer to the equator. This difference was greatest during the warmer months of the year. We also found that the % GDP spent on healthcare in a given country is also associated with more Gram-negative than Gram-positive bacteremia. These findings may reflect differences in the human microbiome as one gets closer or farther from the equator as has been recently demonstrated, differences in survival of Gram-negative compared to Gram-positive bacteria under certain environmental conditions, and likely reflects differences in public health and other factors.
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