Clinical Features and Therapeutic Implications of 104 Episodes of Monomicrobial Aeromonas Bacteraemia

Ko, Wen Chien; Lee, Hsin‐Chun; Chuang, Yin-Ching; Liu, Ching-Chuan; Wu, Jiunn-Jong

doi:10.1053/jinf.2000.0654

Cited by 158 publications

(208 citation statements)

References 31 publications

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“…In the present study, male gender was associated with monomicrobial Aeromonas bacteremia after multivariate regression analysis, consistent with a previous study (4). Despite the seeming reality of the observations, its reasons remain unclear.…”

Section: Discussionsupporting

confidence: 90%

“…The case fatality rates among patients with Aeromonas bacteremia in the literature range from 28% -63% (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(44)(45)(46)(47)(48). In the present study, the case fatality rate was 33% in the patients with monomicrobial Aeromonas bacteremia and 31% in polymicrobial Aeromonas bacteremia.…”

Section: Discussionsupporting

confidence: 42%

“…Concomitant micro-organisms have been considered as an important factor contributing to fatal-ity; this supposition was not proven in our study. A previous study showed case fatality of monomicrobial Aeromonas bacteremia was associated with a scoring system based on the evaluation of mental status, body temperature, blood pressure, need for mechanical ventilation, and presence or absence of cardiac arrest (4). This scoring system is like the APACHE II system, which is used worldwide to evaluate the severity of infection disease.…”

Section: Discussionmentioning

confidence: 99%

“…They are ubiquitous in water and associated with a variety of human infections, including gastroenteritis, wound infection, and septicemia (2)(3)(4). Aeromonas hydrophila, A. caviae and A. veronii biovar sobria are the most frequently isolated Aeromonas species from symptomatic patients.…”

Section: Introductionmentioning

confidence: 99%

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Different Clinical Characteristics between Polymicrobial and Monomicrobial Aeromonas Bacteremia -A Study of 216 Cases

Lay

Zhuang

et al. 2010

Intern. Med.

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Background Part of Aeromonas bacteremia is polymicrobial infection. However, a clinical comparison of monomicrobial and polymicrobial Aeromonas bacteremia has not hitherto been reported. Methods A retrospective analysis of medical records of patients with Aeromonas bacteremia at three large referral hospitals in Taiwan for an 8-year period (2001-2008) was conducted. Results There were 154 patients with monomicrobial Aeromonas bacteremia and 62 patients with polymicrobial Aeromonas bacteremia. In the polymicrobial infections, E. coli was the most common combined pathogen (42%), followed by Klebsiella spp. (24%) and Enterobacter spp. (16%). Multivariate logistic regression analysis revealed solid cancer as the risk factor for polymicrobial Aeromonas bacteremia, with male gender and cirrhosis as risk factors for monomicrobial Aeromonas bacteremia. However, of all types of solid cancer, hepatoma was associated with monomicrobial Aeromonas bacteremia. APACHE II score was the most important prognostic factor in both groups. Conclusion Aeromonas bacteremia in patients with cirrhosis or male gender tended to be monomicrobial. Polymicrobial Aeromonas bacteremia was associated with solid cancers. In either polymicrobial or monomicrobial Aeromonas bacteremia, prognosis could be predicted according to disease severity measured by APACHE II score.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 42%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Different Clinical Characteristics between Polymicrobial and Monomicrobial Aeromonas Bacteremia -A Study of 216 Cases

Lay

Zhuang

et al. 2010

Intern. Med.

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“…Aeromonas species are Gram-negative bacilli that thrive in aquatic environments, especially in sewage, fresh or brackish water, soil, tap water, and nonfecal organic materials [7,[15][16][17]. Aeromonas species are known to cause diarrhea.…”

Section: Introductionmentioning

confidence: 99%

Case Reports: Fatal Necrotizing Fasciitis Caused by Aeromonas sobria in Two Diabetic Patients

Tsai

Huang

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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We report two rare cases of Aeromonas sobria necrotizing fasciitis with sepsis in patients with diabetes. In both cases, immediate fasciotomy was performed and appropriate empiric antimicrobial therapy and intensive care were administered. However, the two patients died on Day 2 and Day 11, respectively, after admission as a result of multiple organ failure. When patients present with a rapid onset of skin necrosis and progressive sepsis, an Aeromonas sobria infection or Vibrio infection should be considered in the differential diagnosis.

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Mortality analysis of Aeromonas hydrophila infection in hepato‐biliary pancreatic surgery: Multicenter retrospective observational study

Ueno

Iida

Kaibori

et al. 2020

J Hepato Biliary Pancreat

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Background/Purpose: Aeromonas hydrophila can cause lethal infectious complications after surgery. There have been no large cohort studies of this specific to the hepato-biliary-pancreatic (HBP) field. We investigate the postoperative influence of A hydrophila infection after HBP surgery. Methods: We retrospectively reviewed patients who underwent HBP surgery between 2008 and 2017 at eight university hospitals. Patients with A hydrophila isolation during perioperative management were extracted, and their postoperative courses were investigated. Results: Bacterial culture examination of 10 074 patients was performed as perioperative management. Among them, 76 patients (0.75%) had A hydrophila isolation, most of whom underwent pancreatoduodenectomy (n = 38) or hepatectomy with biliary reconstruction (n = 14). There were seven mortalities after these two procedures (13.5%), five within 3 days after the onset of infection. Bile (n = 48) and abdominal drainage fluid (n = 29) were major sites of A hydrophila isolation. Typical prophylactic antibiotics, cefazolin or flomoxef, were mostly resistant. There was no mortality among patients that received sensitive antibiotics prophylactically. Conclusions: Isolation of A hydrophila was low in our cases of HBP surgery, but the condition of some patients deteriorated rapidly by this infection. Although there could be several bacterial infections during management of HBP surgery, A hydrophila should not be overlooked. Preparation of appropriate prophylactic antibiotics may prevent or reduce mortality.

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Clinical Features and Therapeutic Implications of 104 Episodes of Monomicrobial Aeromonas Bacteraemia

Cited by 158 publications

References 31 publications

Different Clinical Characteristics between Polymicrobial and Monomicrobial Aeromonas Bacteremia -A Study of 216 Cases

Different Clinical Characteristics between Polymicrobial and Monomicrobial Aeromonas Bacteremia -A Study of 216 Cases

Case Reports: Fatal Necrotizing Fasciitis Caused by Aeromonas sobria in Two Diabetic Patients

Mortality analysis of Aeromonas hydrophila infection in hepato‐biliary pancreatic surgery: Multicenter retrospective observational study

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