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KPC-producing Enterobacter aerogenes infection

Authors: Tuon F. F.; Camila Scharf.; Rocha J. L.; Cieslinsk J.; Becker G. N.; Arend L. N.;

KPC-producing Enterobacter aerogenes infection

Abstract

Enterobacter is a common nosocomial microorganism and its carbapenem's resistance has increased. The management of these cases is unclear.We evaluated 16 patients with KPC-producing Enterobacter aerogenes infections, detailing the site of infection, therapy, clinical and epidemiological data.A retrospective and descriptive study. Clinical data were revised and KPC-2 detection was by molecular methods. Risk factors associated with mortality were compared using appropriate tests according to variable type with a significance level of 0.05.The 30-day mortality rate was 37.5% with no association with inadequate treatment. Age (p=0.004) and Charlson score of comorbidities (p=0.048) were independent risk factors associated with death in the multivariate analysis. The odds ratio for age >43 years was 3.00 (95% CI: 1.02-9.32) and for Charlson score >3 was 2.00 (95% CI: 1.08-3.71). Five strains were pan-resistant based on automated susceptibility tests. All patients were treated with monotherapy.The clinician should be alert to carbapenem-resistant Enterobacteriaceae infection in older patients with comorbidities. The mortality is high and we believe that prompt and adequate therapy must be employed.

Keywords

Adult, Male, Enterobacter, Infection control, Infectious and parasitic diseases, RC109-216, Microbial Sensitivity Tests, Brief Communication, Microbiology, beta-Lactamases, Carbapenemase, Young Adult, Pregnancy, Risk Factors, Humans, Aged, Retrospective Studies, Medicine(all), Aged, 80 and over, Enterobacteriaceae Infections, KPC Enterobacter, Enterobacter aerogenes, Middle Aged, QR1-502, Anti-Bacterial Agents, Carbapenemase; Enterobacter; Infection control; KPC, KPC, Female

  • BIP!
    Impact byBIP!
    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    21
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
21
Top 10%
Top 10%
Top 10%
Green
gold