This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (31)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

An Analysis of 50 Episodes

Emilio Bouza, MD; Manuel García de la Torre, MD; Alejo Erice, MD; Elena Loza, MD; José María Diaz-Borrego, MD; Luis Buzón, MD

Arch Intern Med. 1985;145(6):1024-1027.

Abstract
• During a six-year period, 147 patients had Enterobacter bacteremia (3.8% of the episodes of bacteremia), with an incidence of 1.25 per 1,000 admitted patients. We chose a random group of 50 cases for analysis. The disease was community acquired in 24% of the cases and nosocomially acquired in the remaining 76%. The bacteremia was unimicrobial in 70% and part of a polymicrobial bacteremia in 30%. The species most commonly causing bacteremia was Enterobacter cloacae. Portals of entry, in decreasing order of frequency, were unknown, surgical wound, respiratory tract, and urinary tract. The most common clinical finding was fever (92%). Shock occurred in 30% of the patients, and only two patients had evidence of disseminated intravascular coagulation. Of the Enterobacter isolates, 12% were resistant to gentamicin. Overall mortality was 42%; factors associated with a poor prognosis were inadequacy of antimicrobial chemotherapy, septic shock, type of underlying disease, clinical condition, and requirement of intensive care.

(Arch Intern Med 1985;145:1024-1027)

Author Affiliations
From the Infectious Disease Unit (Drs Bouza, Garcóa la Torre, Erice, and Buzón), Microbiology Service (Dr Loza), and Intensive Care Unit (Dr Diaz-Borrego), Centro Especial "Ramón y Cajal," Madrid.

Footnotes
Accepted for publication Aug 23, 1984.

Reprint requests to Servicio de Microbiología Clínica, Hospital Provincial de Madrid, Calle Ibiza, Madrid 28007, Spain (Dr Bouza).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Effect of antimicrobial therapy on mortality in 377 episodes of Enterobacter spp. bacteraemia
Marcos et al.
J Antimicrob Chemother 2008;62:397-403.
ABSTRACT | FULL TEXT  

Enterobacter Bacteremia: Clinical Features and Emergence of Antibiotic Resistance during Therapy
Chow et al.
ANN INTERN MED 1991;115:585-590.
ABSTRACT  

Enterobacter Cloacae Bacteremia in Children: A Review of 30 Cases in 12 Years
Bonadio et al.
CLIN PEDIATR 1991;30:310-313.
ABSTRACT