| | | | | | The Medical Algorithms Project |
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| Chapter : | ch23. Microbiology & Infectious Diseases | Section : | Evaluation of Bacteremias and Sepsis | | Classification of McCabe and Jackson for Severity of Underlying Illness in Patients with Gram Negative Bacteremia | | Copyright (c) 2006-2007, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved. |
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Overview :
McCabe and Jackson used a simple classification for
underlying disease in patients with gram-negative bacteremia. This is a
relatively crude method for stratifying patients with bacteremia. The authors
are from the University of Illinois College of Medicine.
|
Underlying
Condition |
Example |
Classification |
|
fulminant |
acute leukemia in blastic phase, rapidly progressive
disease |
rapidly
fatal |
|
irreversible with death expected within the next 4
years despite optimum therapy |
metastatic carcinoma, malignant lymphoma, chronic renal
failure without transplant) |
ultimately
fatal |
|
chronic or acute reversible; death not expected within
the next 4 years |
diabetes, obstetrical condition, gastrointestinal
disorder, genitourinary disorder |
nonfatal |
where:
• The is no
classification for "none" (no underlying condition).
• I am not
sure if advanced old age would be considered an ultimately fatal condition.
• A person
could have a mixed classification with disorders in more than 1 of the
classifications.
| | References: | |
McCabe WR,
Jackson GG. Gram-negative bacteremia. I. Etiology and ecology. Arch Intern Med.
1962; 110: 847-855.
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