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Serratia marcescens bacteremia.

W W Wong1, L S Wang, D L Cheng

  • 1Department of Medicine, Veterans General Hospital, Taipei, Taiwan R.O.C.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|January 1, 1991
PubMed
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Serratia marcescens bacteremia is a serious concern, with a high fatality rate. Early recognition and appropriate antibiotic selection, such as amikacin or third-generation cephalosporins, are critical for effective treatment.

Area of Science:

  • Clinical Microbiology
  • Infectious Diseases
  • Hospital Epidemiology

Background:

  • Serratia marcescens bacteremia is increasingly recognized as a significant clinical issue.
  • Both hospital-acquired and community-acquired infections warrant attention due to potential severity.
  • Previous understanding of S. marcescens bacteremia's impact and treatment may be outdated.

Purpose of the Study:

  • To analyze the clinical characteristics and outcomes of Serratia marcescens bacteremia.
  • To evaluate the sources of infection and identify risk factors.
  • To assess the efficacy of different antibiotic treatments for nosocomial S. marcescens bacteremia.

Main Methods:

  • Retrospective review of 23 episodes of S. marcescens bacteremia occurring in 1985.

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  • Categorization of infections into hospital-acquired versus community-acquired.
  • Analysis of infection sources, patient outcomes, and antibiotic susceptibility patterns.

    • Main Results:

    • A high case fatality rate of 39% was observed among the 23 patients.
    • Hospital-acquired infections predominated (74%), with a significant proportion (48%) having no clear source.
    • Amikacin and third-generation cephalosporins demonstrated superior efficacy compared to gentamicin for nosocomial infections.

    Conclusions:

    • Serratia marcescens bacteremia is a critical condition requiring heightened clinical awareness.
    • Effective management necessitates prompt diagnosis and appropriate antibiotic therapy, particularly in nosocomial settings.
    • Antibiotic resistance patterns underscore the importance of selecting effective agents like amikacin or third-generation cephalosporins.