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Related Experiment Videos

Enterococcal infections

T Yamauchi

    Pediatrics in Review
    |May 1, 1993
    PubMed
    Summary
    This summary is machine-generated.

    A pediatric patient with multiple trauma developed a fever after antibiotic treatment. Blood and urine cultures identified enterococcus, indicating a potential hospital-acquired infection in critically ill children.

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    Area of Science:

    • Critical care medicine
    • Pediatric infectious diseases
    • Trauma surgery

    Background:

    • Critically ill pediatric patients often require invasive devices, increasing infection risk.
    • Motor vehicle accidents are a common cause of severe trauma in children.
    • Prolonged antibiotic use can lead to the emergence of resistant bacterial strains.

    Purpose of the Study:

    • To report a case of enterococcus infection in a pediatric trauma patient.
    • To highlight the importance of vigilant infection surveillance in intensive care settings.
    • To discuss potential sources and management of enterococcus in immunocompromised pediatric patients.

    Main Methods:

    • Case report of an 8-year-old male with multiple trauma.
    • Review of clinical course, including intensive care management and antibiotic therapy.

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  • Microbiological analysis of blood and urine cultures.

    • Main Results:

    • The patient developed a fever on day 7 of third-generation cephalosporin therapy.
    • Blood and urine cultures were positive for enterococcus.
    • No other definitive source of infection was identified.

    Conclusions:

    • Enterococcus can cause infections in pediatric trauma patients, even after broad-spectrum antibiotic prophylaxis.
    • Fever in a critically ill patient with invasive lines warrants thorough investigation for bacterial pathogens.
    • Early identification and appropriate antimicrobial therapy are crucial for managing enterococcus infections in this population.