Clinical predictors of Enterobacter bacteremia among patients admitted to the ED - 21/11/11
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Korean Network for Study of Infectious Diseases (KONSID)
Abstract |
Objectives |
This study was performed to evaluate clinical features of community-onset Enterobacter bacteremia and determine the risk factors for Enterobacter bacteremia among patients admitted to the emergency department.
Methods |
A post hoc analysis of a nationwide surveillance database of bacteremia was performed. A total of 53 patients with community-onset Enterobacter bacteremia were compared with 882 patients with Escherichia coli bacteremia.
Results |
As for the underlying disease, solid tumor was more likely common in Enterobacter bacteremia than in E coli bacteremia (39.6% [21/53] vs 19.7% [174/882], P < .001). Neutropenia, indwelling urinary catheter, and tube insertion were significantly more common in Enterobacter bacteremia than in E coli bacteremia (all Ps < .05). As for the site of infection, lung and abdomen were more likely common in Enterobacter bacteremia than in E coli bacteremia, whereas urinary tract was less likely frequent in Enterobacter bacteremia than in E coli bacteremia (all Ps < .05). In the multivariate analysis, pneumonia, tube insertion, solid tumor, and health care–associated infection were found to be significantly associated with Enterobacter bacteremia (all Ps < .05).
Conclusions |
Enterobacter species were important pathogens among community-onset gram-negative bacteremia, in association with health care–associated infections. Pneumonia, tube insertion, solid tumor, and health care–associated infections were found to be significantly associated with Enterobacter bacteremia.
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☆ | This study was supported by a grant of the Korean Health 21 R & D Project, Ministry of Health, Welfare, & Family affair, Republic of Korea (A084063). |
Vol 30 - N° 1
P. 165-169 - janvier 2012 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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