Enterobacter bacteremia.

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dc.contributor.authorGupta, Nen_US
dc.contributor.authorAparna,en_US
dc.contributor.authorChoudhary, Umaen_US
dc.contributor.authorGarg, Nidhien_US
dc.contributor.authorArora, D Ren_US
dc.date.accessioned2003-07-19en_US
dc.date.accessioned2009-05-31T00:53:11Z
dc.date.available2003-07-19en_US
dc.date.available2009-05-31T00:53:11Z
dc.date.issued2003-07-19en_US
dc.description.abstractOBJECTIVES: To study the incidence, antimicrobial susceptibility pattern, age and sex distribution, mortality and prognostic factors in cases of Enterobacter bacteremia. METHODS: A total of 18,745 indoor patients with suspected bacteremia were included in study. Enterobacter spp were identified and speciated using standard protocols. Antimicrobial susceptibility testing was done using Stoke's disc diffusion method and minimum inhibitory concentration (MIC) was determined by agar dilution method as recommended by NCCLS. RESULTS: Enterobacter spp ranking sixth was responsible for 4.6% of total group of significant bacteremias. The species most commonly causing bacteremia was E. cloacae (61.8%). The bacteremia was unimicrobial in 85.1% and part of a polymicrobial bacteremia in 14.8%. Portal of entry in decreasing order of frequency were unknown, respiratory tract, urinary tract and surgical wound. The most common clinical finding was fever (97.2%). Of Enterobacter isolates 72.9% were multiresistant to three or more antimicrobial agents. Overall mortality was 51.1%. CONCLUSION: Enterobacter spp are becoming increasingly important nosocomial pathogens. To prevent further emergence of multidrug resistance it may beprudent to avoid third generation cephalosporins and instead combination therapy may be used.en_US
dc.description.affiliationDepartment of Microbiology, Pt B.D. Sharma, Post Graduate Institute of Medical Sciences, Rohtak (Haryana), India.en_US
dc.identifier.citationGupta N, Aparna , Choudhary U, Garg N, Arora DR. Enterobacter bacteremia. Journal of the Association of Physicians of India. 2003 Jul; 51(): 669-72en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/91696
dc.language.isoengen_US
dc.source.urihttps://www.japi.orgen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAge Factorsen_US
dc.subject.meshAgeden_US
dc.subject.meshBacteremia --epidemiologyen_US
dc.subject.meshChilden_US
dc.subject.meshEnterobacter cloacae --isolation & purificationen_US
dc.subject.meshEnterobacteriaceae Infections --drug therapyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPrognosisen_US
dc.subject.meshSex Factorsen_US
dc.titleEnterobacter bacteremia.en_US
dc.typeJournal Articleen_US
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