Bloodstream infections in immunocompromised hosts. 2012

Raluca Papagheorghe
Central Laboratory Department of Microbiology Clinical Hospital Colţea, Bucharest, Romania. r.papagheorghe@yahoo.com

Immunocompromised hosts are at high risk for bloodstream infections (BSIs); the outcome is unpredictable (even with adequate therapy), frequently severe (mortality 27%). A 26 months survey in a haematology/oncology hospital was set-up; it comprised 158 patients and detected 171 positive blood cultures. The origin of the infections was primitive in 27.22% and secondary in 72.78% of the cases; the most frequent cause was the presence of a vascular catheter (23.41%). The second most important cause were the respiratory infections (19.62%), followed by the urinary tract infections (UTIs) (11.39%). Gram negative bacilli represented 59.4%, the enterobacteriaceae were predominant (35.59%), followed by Pseudomonas aeruginosa (10.73%) and species like Serratia marcescens and Acinetobacter baumannii. Although isolated at low level, they worry by an increasing frequency. Among Gram positive cocci (43.51%) coagulase negative staphylococci (CoNS) were the most frequent (25.42%), followed by Staphylococcus aureus (18.08%); Enterococcus faecalis (5.65%) was isolated from polymicrobial (associated) infections. The strains of E. coli, K. pneumoniae and P. aeruginosa were constantly susceptible to carbapenems, demonstrating otherwise various susceptibility patterns, generally elevated to the antibiotics we tested. The production of extended spectrum betalactamase (ESBL) was 22.58%. The methicillin resistance was 54.4% in S. aureus strains; the susceptibility was variable among 7 other antibiotics tested. One Staphylococcus strain had reduced susceptibility to vancomycin. A multidisciplinary survey is necessary for the control of the multidrug resistant organisms (MDRO).

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D016470 Bacteremia The presence of viable bacteria circulating in the blood. Fever, chills, tachycardia, and tachypnea are common acute manifestations of bacteremia. The majority of cases are seen in already hospitalized patients, most of whom have underlying diseases or procedures which render their bloodstreams susceptible to invasion. Bacteremias
D016867 Immunocompromised Host A human or animal whose immunologic mechanism is deficient because of an immunodeficiency disorder or other disease or as the result of the administration of immunosuppressive drugs or radiation. Immunosuppressed Host,Immunocompromised Patient,Host, Immunocompromised,Host, Immunosuppressed,Hosts, Immunocompromised,Hosts, Immunosuppressed,Immunocompromised Hosts,Immunocompromised Patients,Immunosuppressed Hosts,Patient, Immunocompromised,Patients, Immunocompromised
D024901 Drug Resistance, Multiple, Bacterial The ability of bacteria to resist or to become tolerant to several structurally and functionally distinct drugs simultaneously. This resistance may be acquired through gene mutation or foreign DNA in transmissible plasmids (R FACTORS). Drug Resistance, Extensive, Bacterial,Drug Resistance, Extensively, Bacterial,Extensive Antibacterial Drug Resistance,Extensively Antibacterial Drug Resistance,Multidrug Resistance, Bacterial,Multiple Antibacterial Drug Resistance,Bacterial Multidrug Resistance,Bacterial Multidrug Resistances,Resistance, Bacterial Multidrug

Related Publications

Raluca Papagheorghe
July 2015, European review for medical and pharmacological sciences,
Raluca Papagheorghe
July 1991, The Orthopedic clinics of North America,
Raluca Papagheorghe
July 2005, Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego,
Raluca Papagheorghe
January 2006, Current opinion in gastroenterology,
Raluca Papagheorghe
December 1989, Journal of the Medical Association of Thailand = Chotmaihet thangphaet,
Raluca Papagheorghe
January 2004, Current opinion in gastroenterology,
Raluca Papagheorghe
October 2013, South Asian journal of cancer,
Raluca Papagheorghe
December 2014, Transplant infectious disease : an official journal of the Transplantation Society,
Raluca Papagheorghe
June 1989, Journal of the American Academy of Dermatology,
Raluca Papagheorghe
December 1991, Journal of the Egyptian Society of Parasitology,
Copied contents to your clipboard!