title: [Analysis of 117 episodes of enterococcal bacteremia: Study of epidemiology, microbiology and antimicrobial susceptibility].
abstract: Enterococcal bacteremia has acquired considerable importance in recent years, mainly due to an increased number of cases that occur during hospital admission. We describe the episodes of enterococcal bacteremia in adult patients recorded at our hospital. Between January 2000 and December 2013, 117 episodes were analyzed. Sixty one percent (61%) of the patients were male and 39% female. The mean age was 68. Predisposing factors were present in 91% of patients. The primary source of infection was intraabdominal. Enterococcus faecalis was responsible for 65% of the cases; E. faecium for 28%; and other species for 7%. Thirty four percent (34%) of cases were polymicrobial bacteremia. All E. faecalis isolates were susceptible to ampicillin and vancomycin. Eighty eight percent (88%) of E. faecium were resistant to ampicillin and 54% to vancomycin and teicoplanin. In our hospital, Enterococcus is the sixth pathogen causing nosocomial bacteremia, with high incidence of ampicillin and vancomycin-resistant E. faecium.
authors: Departamento Bacteriología, Laboratorio Central, Hospital Nacional de Clínicas, Universidad Nacional de Córdoba, Córdoba, Argentina. Electronic address: caro_manassero88@hotmail.com.
authors: Norma Carolina
authors: NC
authors: Manassero
authors: Departamento Bacteriología, Laboratorio Central, Hospital Nacional de Clínicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
authors: Mercedes
authors: M
authors: Navarro
authors: Departamento Bacteriología, Laboratorio Central, Hospital Nacional de Clínicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
authors: Marta
authors: M
authors: Rocchi
authors: Departamento Bacteriología, Laboratorio Central, Hospital Nacional de Clínicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
authors: Horacio
authors: H
authors: di Bella
authors: Departamento Bacteriología, Laboratorio Central, Hospital Nacional de Clínicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
authors: Ana M
authors: AM
authors: Gasparotto
authors: Departamento Bacteriología, Laboratorio Central, Hospital Nacional de Clínicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
authors: A Valeria
authors: AV
authors: Ocaña Carrizo
authors: Departamento Bacteriología, Laboratorio Central, Hospital Nacional de Clínicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
authors: Federico
authors: F
authors: Novillo
authors: Departamento Bacteriología, Laboratorio Central, Hospital Nacional de Clínicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
authors: Daniela
authors: D
authors: Furiasse
authors: Departamento Bacteriología, Laboratorio Central, Hospital Nacional de Clínicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
authors: Aída
authors: A
authors: Monterisi
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use; D001118:Argentina / Q000453:epidemiology; D016470:Bacteremia / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*; D060085:Coinfection; D017714:Community-Acquired Infections / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology; D015897:Comorbidity; D003428:Cross Infection / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology; D004198:Disease Susceptibility; D024901:Drug Resistance, Multiple, Bacterial; D016983:Enterococcus / Q000187:drug effects / Q000302:isolation & purification*; D013293:Enterococcus faecalis / Q000187:drug effects / Q000302:isolation & purification; D016984:Enterococcus faecium / Q000187:drug effects / Q000302:isolation & purification; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000453:epidemiology; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antimicrobials; Antimicrobianos; Bacteremia; Bacteriemia; Enterococcus; Epidemiology; Epidemiología