Achromobacter xylosoxidans Bacteremia: A 10-Year Analysis of 54 Cases
| Autor: | A. Barbado-Cano, J. J. Ríos, J. Gómez-Cerezo, M. J. García de Miguel, M.I. de José, O. Monteagudo, I. Suárez, Juan José Vázquez, P. Linares, P. Peña |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male Microbiology (medical) medicine.medical_specialty Adolescent medicine.medical_treatment Bacteremia Microbial Sensitivity Tests Neutropenia Cohort Studies Age Distribution Risk Factors Internal medicine medicine Humans Blood culture Alcaligenes Sex Distribution Risk factor Child Aged Probability Retrospective Studies Aged 80 and over Analysis of Variance Cross Infection biology medicine.diagnostic_test business.industry Incidence Infant Achromobacter denitrificans General Medicine Achromobacter xylosoxidans Middle Aged medicine.disease biology.organism_classification Survival Analysis Anti-Bacterial Agents Surgery Pneumonia Infectious Diseases Spain Child Preschool Female Hemodialysis Gram-Negative Bacterial Infections business |
| Zdroj: | European Journal of Clinical Microbiology & Infectious Diseases. 22:360-363 |
| ISSN: | 1435-4373 0934-9723 |
| DOI: | 10.1007/s10096-003-0925-3 |
| Popis: | Fifty-four cases of Achromobacter xylosoxidans bacteremia diagnosed over a 10-year period in patients from 2 months to 87 years of age were reviewed. Fifty-two episodes were nosocomial. The most frequent underlying condition was neoplasm (solid or hematological). The source of infection was a contaminated intravenous catheter in 35 patients (60%) and pneumonia in 6 patients. Eight (15%) patients died. The only risk factors significantly associated with mortality were age over 65 years and neutropenia. The results of in vitro susceptibility studies of the isolates showed that antibiotic therapy with antipseudomonal penicillins or carbapenems would be a reasonable choice. An epidemiological study conducted in the hemodialysis unit showed Achromobacter xylosoxidans in tap water and on the hands of two healthcare workers but not in the hemodialysis systems. Patients were probably contaminated when healthcare workers manipulated the intravenous catheters without wearing gloves. |
| Databáze: | OpenAIRE |
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