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[Enterococcal infections in critically ill patients admitted to ICU].

Francisco Alvarez Lerma1, Mercedes Palomar, Josu Insausti

  • 1Servicio de Medicina Intensiva, Hospital del Mar, Barcelona, España. Falvarez@imas.imim.es

Medicina Clinica
|September 23, 2003
PubMed
Summary
This summary is machine-generated.

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Enterococcus spp. caused 10.2% of ICU-acquired infections in Spain, primarily urinary tract and secondary bacteremia. Mortality rates were similar between Enterococcus spp. and other pathogen infections.

Area of Science:

  • Infectious Diseases
  • Critical Care Medicine
  • Microbiology

Context:

  • Nosocomial infections pose a significant threat in intensive care units (ICUs).
  • Enterococcus species are increasingly recognized as important pathogens in healthcare-associated infections.
  • Understanding the epidemiology and clinical impact of Enterococcus spp. in critically ill patients is crucial for effective management.

Purpose:

  • To determine the incidence of Enterococcus spp. infections in Spanish ICUs.
  • To describe the clinical characteristics and outcomes of critically ill patients with Enterococcus spp. infections.
  • To identify risk factors associated with Enterococcus spp. acquisition in the ICU.

Summary:

  • A prospective, observational, multicenter study in Spain (1997-2001) identified Enterococcus spp. in 10.2% of ICU-acquired infections among 21,972 patients.

Related Experiment Videos

  • Enterococcus spp. commonly caused urinary tract infections (14.3%) and secondary bacteremia (12.2%), particularly associated with abdominal and soft tissue infections.
  • Enterococcus faecalis was the predominant species (82.4%). Age, APACHE II score, and ICU length of stay were associated with Enterococcus spp. infection. Mortality rates were similar between Enterococcus spp. and other pathogen infections but higher than in non-infected patients.

    • Impact:

    • This study provides valuable epidemiological data on Enterococcus spp. infections in critically ill patients in Spain.
    • Findings highlight the importance of Enterococcus spp. as a cause of nosocomial infections in ICUs, influencing infection control strategies.
    • The similar mortality rates underscore the need for prompt and appropriate treatment for all ICU-acquired infections, regardless of the causative pathogen.