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Roger C. Bone, MD

JAMA. 1997;278(3):249.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In this issue of THE JOURNAL, Sands et al¹ present important results in an epidemiologic study of sepsis in 8 academic medical centers. The most interesting conclusion is that sepsis occurred in as many as 2 cases per 100 admissions in academic tertiary care centers. This rate is much higher than that found in previous investigations² and probably results from more complicated cases, a higher incidence of nosocomial infection, and inclusion of non-intensive care unit (ICU) patients. For example, Brun-Buisson et al³ looked at the incidence of sepsis in ICUs in France and found an attack rate of 9% overall and 10.3% in very large institutions. In the study by Sands et al, ICU patients accounted for only 59% of the cases; of the 41% remaining non-ICU patients, 11% had positive blood cultures and 30% had negative blood cultures.

See also p 234.

This analysis also supports . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Medicine, Rush Medical College of Rush University, Chicago, Ill.

Dr Bone died June 8. 1997.

Footnotes
Reprints: Margaret A. Winker, MD, 515 N State St, Chicago. IL 60610 (e-mail: Margaret_Winker@ama-assn.org).

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