In summary, the sepsis mortality declined in small sized cities
and rural areas, but increased slightly in major cities in mainland
China during the first decade of the 21st century. The mortality
among the elderly declined but increased among neonates. The
positivity of blood culture remained relatively stable among
suspected sepsis patients. The proportion of Gram (+) bacteria was
significantly higher than that of Gram () bacteria among neonates
with sepsis, but the proportions were equal among adults.