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Enterobacter bacteremia.

N Gupta1, Aparna, Uma Choudhary

  • 1Department of Microbiology, Pt B.D. Sharma, Post Graduate Institute of Medical Sciences, Rohtak (Haryana), India.

The Journal of the Association of Physicians of India
|November 19, 2003
PubMed
Summary
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Enterobacter bacteremia is a significant nosocomial infection, with high mortality and increasing multidrug resistance. Combination therapy may be prudent to combat emerging resistance to third-generation cephalosporins.

Area of Science:

  • Clinical microbiology
  • Infectious diseases
  • Hospital epidemiology

Background:

  • Enterobacter species are increasingly recognized as significant nosocomial pathogens.
  • Understanding their epidemiology and antimicrobial susceptibility is crucial for effective patient management.

Purpose of the Study:

  • To investigate the incidence, antimicrobial susceptibility, demographics, mortality, and prognostic factors of Enterobacter bacteremia.
  • To inform strategies for combating multidrug resistance in Enterobacter infections.

Main Methods:

  • Analysis of 18,745 indoor patients with suspected bacteremia.
  • Identification and speciation of Enterobacter species using standard protocols.
  • Antimicrobial susceptibility testing via disc diffusion and MIC determination by agar dilution.

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Main Results:

  • Enterobacter species accounted for 4.6% of significant bacteremias, with E. cloacae being most common (61.8%).
  • 72.9% of isolates were multiresistant; overall mortality was 51.1%.
  • Common sources included unknown, respiratory, and urinary tracts; fever was the most frequent clinical finding.

Conclusions:

  • Enterobacter bacteremia poses a significant threat due to high mortality and multidrug resistance.
  • Avoiding third-generation cephalosporins and considering combination therapy may help prevent further resistance.