Talk:Bloodstream infection

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Octodocto, Jfeeney11, CoolGuy555. Peer reviewers: Anitaver, Matthewdizon-89, AVinson11.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 15:59, 16 January 2022 (UTC)

Merge Toxemia into Bacteremia

Yes I don't see anything in the Toxemia article that suggests it is something separate from Bacteremia. It should just be included here as an alternative term. There is some good work and links in it though, so it would benefit this article. Tyciol 15:14, 4 August 2006 (UTC)

like the cornflakes, but...

The Kellog stuff should be removed. A veggie diet and yogurt enemas have nothing to do with the condition of blood poisoning.

More to the causes section?

IMHO this probably needs to be expanded or just reworded - perhaps a more general causes should be listed, rather than "infecting via this way, this way, and this way are the causes" ... can't think of a way to do it however. 203.5.70.1 14:24, 22 March 2007 (UTC)

Concequences section first paragraph incorrect

septic shock involves all of the above plus organ failure despite fluid resuscitation. — Preceding unsigned comment added by 76.114.29.224 (talk) 04:50, 10 May 2012 (UTC)

WikiMedicine Elective Project: Bacteremia

As part of an elective class, a group of three of us will be editing this article over the course of the next four weeks. Sections have been assigned to particular team members within our group (OctoDocto, jfeeney11, CoolGuy555)

A rough timeline is as follows:

• week 1 - planning of sections of Bacteremia page (done, see below)
• week 2 - gather up to date information and sources
• week 3 - make live edits
• week 4 - respond to peer feedback, revise page

Lead Paragraph (CoolGuy555)

• Define simply
• Provide a few examples and define (i.e. define meningitis briefly instead of just linking to meningitis
• Briefly discuss health consequences

Definition (OctoDocto)

• Transient versus intermittent vs persistent bacteremia
• Bacteremia versus sepsis

Causes (jfeeney11)

• hospital acquired
• community acquired
• describe common causes of each
• Causes often differ depending on pathogen
• Add epidemiologic data
• Image of bacteria in bloodstream

Consequences (CoolGuy555) - (rename as “Health Consequences”?)

• Considerations for bacteremia in infants vs. in adults
• Pediatric pneumococcal bacteremia (occult bacteremia, link out)
• Briefly describe sepsis and link out
• Briefly describe end-organ dysfunction and link out
• Briefly describe endocarditis and link out
• Briefly describe septic emboli and link out
• Briefly describe septic arthritis and link out
• Briefly describe meningitis and link out
• Briefly describe osteomyelitis and link out

Clinical presentation (OctoDocto)

• Relevant physical exam findings (ie.for meningococcemia)

Diagnosis (OctoDocto)

• See uptodate section on blood cultures for diagnosis of bacteremia
• Add citations for diagnosis
• Discuss common skin contaminants
• Image of bacterial culture

Treatment (jfeeney11)

• when to treat certain types of bacteremia
• Common antibiotics

Octodocto (talk) 06:35, 28 November 2016 (UTC)

Peer Reviews

Hey jfeeney11, I just read through your 2 sections and come up with some comments for my peer review. Please use them as you see fit. • Causes section

o Consider adding info to define community-acquired and healthcare associated

o Consider formatting to break up text into sections, like subheading or lines to make gram positive bacteremia a distinct chunk of info from the rest.

o This sentence: “Causes of gram negative bacteremia can also be categorized as community-acquired or healthcare-associated,” can probably come out as the first sentence implies this categorization.

• Treatments section

o Maybe add a line about consideration of allergic reactions when selecting an empiric antibiotic. This is sort of assumed, but maybe worth mentioning since it comes up so often clinically.

o Maybe visually break this up into gram positive / gram negative.

o Consider mentioning use of gram staining when deciding how to treat, the above Dx section just talks about culture for definitive diagnosis.

o Consider including some info about the above categorization of community-acquired and healthcare-associated can affect selection of antibiotics.

• General comments

o There is a lot of info here. It could help to use subheadings or some visual features to break up the info if the general reader comes to this page with a specific goal in mind.

• Current language appropriate for a medical audience, but likely too advanced for general audience.

Matthewdizon-89 (talk) 03:37, 12 December 2016 (UTC)

Yo bros, providing feedback for CoolGuy555 (in middle school, my AIM screenname was KoolGy1212. Great handle) Lead:

• Add a citation to the first sentence of paragraph 2 of the lead and any sentence missing one in the third paragraph.
• Remove relatively from the first sentence of the third paragraph.
• Does bacteria "use" the blood to spread or does it spread via the blood. I know it appears semantic but I think of "use" as something done with purpose.
• The lead otherwise looks good. I would just take another pass at simplifying the language and making it more concise.

Health Effects:

• I like this title change
• The hematogenous spread sentence can be reworded to be more concise for example: "Bacteria travel through the blood stream to distant sites in the body (hematogenous spread) and cause infection."
• Don't forget that you planned to describe septic emboli and septic arthritis with links.
• Good work. I like that you kept this section concise. You could even consider presenting it as bullet points.

GODSPEED AVinson11 (talk) 02:50, 13 December 2016 (UTC)

--Quick feedback for Octodocto, since I believe all the other sections have been reviewed!

• Definition section: Super minor style/language thing -- decide throughout article whether to use bloodstream vs. blood stream? The clarification of transient vs. intermittent vs. persistent looks great and is very clearly fleshed out, just wondering whether it might be easier to read if you turn those into bullet points within the section.
• Diagnosis section: Just remember to add citations wherever you need to other than the Staph aureus bacteremia sentence, and I think putting in a line or two discussing the common skin contaminants as you had originally planned would be helpful!

Anitaver (talk) 08:47, 13 December 2016 (UTC)

bloodstreaminfections? What?

Hallo all,

this page is a redirect from the page on "bloodstream infections", however bloodstream infections is not just infections caused by bacteria!

I find it a bit strange that bloodstream infections links to bacteremia alone? What about fungal infections in the blood??

This is very strange and wrong to be honest. Garnhami (talk) 20:30, 5 May 2017 (UTC)

"Blood is normally sterile"

This dogma is gone by now. This article needs some significant re-writing.

https://academic.oup.com/femsre/article/39/4/567/2467761

https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1006292

www.ncbi.nlm.nih.gov/pubmed/26865079

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0120826

www.frontiersin.org/articles/10.3389/fcimb.2019.00148/full

many others...