[Enterobacter cloacae infections at the Regional Hospital in Tromsø].
Enterobacter cloacae was isolated from 69 patients hospitalized at the University Hospital of Tromsø, Norway, during a period of 18 months. The total lethality was 11.6% (8/69) and death occurred most often in patients with a serious underlying condition. Death due to septicaemia occurred in 4/10 patients. Multiple beta-lactam resistant strains were present in 15 patients and were associated with septicaemiae (7/10, p less than 0.0005). Cephalosporin treatment had been given to every third patient (24/69), and nearly half of them (10/24) were infected by multiple beta-lactam resistant E cloacae. E cloacae occurred mainly as a nosocomial infection, since more than 70% of all patients infected had been treated by an invasive procedure prior to isolation of the bacterium. A high number of E cloacae strains were from operation wounds, especially among patients at the Department of Surgery (22/30). At this Department, the total number of E cloacae, and especially the number of multiresistant strains, was markedly reduced during restricted use of cefalosporins.
Andersen
B M
BM
Mikrobiologisk avdeling, Regionsykehuset i Tromsø.
Almdahl
S M
SM
Sørlie
D
D
Hotvedt
R
R
Backer-Christensen
J
J
Nicolaysen
R B
RB
Solem
O I
OI
D000293:Adolescent; D000368:Aged; D003428:Cross Infection / Q000453:epidemiology*; D004756:Enterobacteriaceae Infections / Q000453:epidemiology*; D005260:Female; D006767:Hospitals, District; D006784:Hospitals, Teaching; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009664:Norway / Q000453:epidemiology; D011379:Prognosis
Enterobacter cloacae-infeksjoner ved Regionsykehuset i Tromsø.