Experience with Enterobacter bacteraemia in a Dublin teaching hospital.
In a review of Enterobacter bacteraemia in a 600-bedded teaching hospital, 22 episodes were identified in 20 patients over a 2-year period. An evaluation of risk factors suggested an association between Enterobacter infection and the presence of central venous catheters or use of H-2 receptor antagonists. These factors together with previous exposure of the patient to gentamicin, and prolonged stay in the intensive care unit, increased the likelihood of gentamicin-resistant Enterobacter bacteraemia. This finding has implications for the choice of antibiotic regimen in the empirical treatment of suspected Gram-negative septicaemia.
al Ansari
N
N
Department of Microbiology, Beaumont Hospital, Dublin, Ireland.
McNamara
E B
EB
Cunney
R J
RJ
Flynn
M A
MA
Smyth
E G
EG
D016470:Bacteremia / Q000453:epidemiology* / Q000209:etiology; D002405:Catheterization, Central Venous / Q000009:adverse effects; D004754:Enterobacter / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000453:epidemiology* / Q000209:etiology; D005839:Gentamicins / Q000008:administration & dosage; D006635:Histamine H2 Antagonists / Q000008:administration & dosage; D006784:Hospitals, Teaching; D006801:Humans; D007494:Ireland / Q000453:epidemiology; D007902:Length of Stay; D012189:Retrospective Studies; D012307:Risk Factors
D005839:Gentamicins; D006635:Histamine H2 Antagonists