Acinetobacter bacteremia in patients with diarrhoeal disease.
In 1994, 171 (27%) of all positive blood cultures in our hospital were due to Acinetobacter species. Of these, 138 cultures were considered significant, 91 (66%) were community-acquired and 47 (34%) were nosocomial. Most acinetobacter bacteraemia in children < or = 1 year old was community-acquired, while nosocomial infection was more common in children > 1 year old (P = 0.01). Most children < or = 5 years old were severely malnourished. The incidence of bacteraemia was lowest during the post-monsoon to early winter months. Acinetobacter bacteraemia associated mortality was twice (16%) that of all other patients (7.7%, P < 0.0005) and accounted for 4.5% of all hospital deaths during the study period. Bacteraemia caused by Acinetobacter species is an important cause of morbidity and mortality among our patient population with diarrhoeal disease.
Iqbal Hossain
M
M
International Centre for Diarrhoeal Disease Research, Bangladesh, Clinical Sciences Division, Dhaka.
Iqbal Kabir
A K
AK
Khan
W A
WA
Fuchs
G J
GJ
D000151:Acinetobacter Infections / Q000150:complications*; D017677:Age Distribution; D016470:Bacteremia / Q000150:complications*; D001459:Bangladesh; D002648:Child; D015362:Child Nutrition Disorders / Q000150:complications; D002675:Child, Preschool; D017714:Community-Acquired Infections / Q000150:complications*; D003428:Cross Infection / Q000150:complications*; D003967:Diarrhea / Q000382:microbiology*; D004352:Drug Resistance, Microbial; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009752:Nutritional Status; D012189:Retrospective Studies; D012621:Seasons