title: [Typical nosocomial infection with an unusual cause: Hafnia alvei. Report of 2 cases and literature review].
abstract: The route of infection and the course of two typical nosocomial infections are described in two patients infected with a rare gram-negative bacterium. Both patients underwent cardiovascular surgery. They were placed close to each other in the intensive care unit for several days and suffered from pneumonia and from wound infection respectively. In both patients bacterial culture grew Hafnia alvei. Successful antibiotic treatment was achieved with Netilmicin and Imipenem. Urinary tract, respiratory tract and wound infections are the most frequent nosocomial infections according to the literature. Risk factors are duration of stay in the intensive care unit, shock, poor general condition and advanced age.
authors.affiliation: Departement für Chirurgie, Universitätsspital Zürich.
authors.forename: T
authors.initials: T
authors.lastname: Frick
authors.forename: M
authors.initials: M
authors.lastname: Kunz
authors.forename: M
authors.initials: M
authors.lastname: Vogt
authors.forename: M
authors.initials: M
authors.lastname: Turina
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures; D003428:Cross Infection / Q000382:microbiology*; D004755:Enterobacteriaceae; D004756:Enterobacteriaceae Infections / Q000635:transmission*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000382:microbiology*; D011183:Postoperative Complications / Q000209:etiology; D013530:Surgical Wound Infection / Q000382:microbiology
vernacular_title: Typische nosokomiale Infektion mit seltenem Erreger: Hafnia alvei. Bericht über zwei Fälle und Literaturübersicht.