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Summary
The analysis of the clincal records of 100 cases of septicaemia shows the frequency of normal saprophytic microorganisms (86 %) among which Gram-negative bacteria are dominant (69 %), and are oftenly responsible for toxi-infectious shocks. Septicaemia produced by Gram-positive microorganisms led to a high mortality rate, mainly by the presenc eof Staphylococcus aureus in this group. The microorganisms gain access to the blood stream through the skin and respiratory tract for the Gram-positive strains, through the gastro-intestina] or genito-urinary tract for the Gram-negative microorganisms. Two percent of the strais isolated in the blood were strictly anaerobic. The total mortality rate of septicaemia in patients frequently (75 %) suffering from debilitating diseases, reached 48 %.
Resume
La confrontation de 100 observations cliniques d'états septicémiques, montre la grande fréquence de germes à vie saprophytique habituelle (86 %) parmi les-quels les bacilles à Gram négatif (69 %) prédominant et sont souvent responsables de chocs toxi-infectieux. Les micro-organismes à Gram positif gardent, par la présence dans ce groupe du staphylocoque doreé. un taux de mortalité considérable. La porte d'entrée de ces deux groupes de micro-organismes, sans être tran-chée, est située au niveau de la peaei et des voies aeriennes pour les germes à Gram positif, dans le tube digestif, l'arbre urinaire et le tractus génital pour les germes é Gram négatif. Deux pour cent des germes sont anaérobies stricts. La mortalité globale des septicémies chez des sujets fréquemment atteints de facteurs favori-sants (75 %) atteint 48 %.
Samenvatting
The analysis of the elineal records of 100 cases of septicaemia shows the frequency of normal saprophytic microorganisms (86 %) among which Gram-negative bacteria are dominant (69 %), and are oftenly responsible for toxi-infectious shocks. Septicaemia produced by Gram-positive microorganisms led to a high mortality rate, mainly by the presenc eof Staphylococcus aureus in this group. The microorganisms gain access to the blood stream through the skin and respiratory tract for the Gram-positive strains, through the gastro-intestina] or genito-urinary tract for the Gram-negative microorganisms. Two percent of the strais isolated in the blood were strictly anaerobic. The total mortality rate of septicaemia in patients frequently (75 %) suffering from debilitating diseases, reached 48 %.