2006
DOI: 10.1007/s15010-006-5038-3
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Enterobacter Bacteremia: Clinical Features, Risk Factors for Multiresistance and Mortality in a Chinese University Hospital

Abstract: Enterobacter is becoming increasingly important nosocomial pathogens. Nosocomial infection is a clinical risk factor tightly associated with multiresistance and worse outcome. More judicious use of third-generation cephalosporins may decrease the incidence of nosocomial multiresistant Enterobacter spp. in China.

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Cited by 34 publications
(33 citation statements)
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“…In Taiwan, several observational studies have described the increasing prevalence of ESBLproducing E. cloacae strains, and some reports demonstrated the outbreak and dissemination of these organisms and emphasized that they are an emerging problem, especially in ICUs (26)(27)(28). During the 8-year study period, the prevalence of E. cloacae bacteremic isolates harboring an ESBL gene was 22.6%, similar to that in another report from central Taiwan (28).…”
Section: Discussionmentioning
confidence: 99%
“…In Taiwan, several observational studies have described the increasing prevalence of ESBLproducing E. cloacae strains, and some reports demonstrated the outbreak and dissemination of these organisms and emphasized that they are an emerging problem, especially in ICUs (26)(27)(28). During the 8-year study period, the prevalence of E. cloacae bacteremic isolates harboring an ESBL gene was 22.6%, similar to that in another report from central Taiwan (28).…”
Section: Discussionmentioning
confidence: 99%
“…First, host- and healthcare-related risk factors for the development of BSI- Ecl are often not considered. Second, the treatment success of various antimicrobials, in particular the association with minimum inhibitory concentration (MIC) values, is usually unreported [1215]. Finally, the links between the molecular characterisation of isolates, the treatment paradigm and their outcome are lacking.…”
Section: Introductionmentioning
confidence: 99%
“…Development of resistance is associated with the use of third generation cephalosporins or the prolonged use of perioperative antibiotic prophylaxis [2]. Other risk factors for colonization or infection with multiresistant bacteria such as Enterobacteriaceae with production of extended-spectrum betalactamases include the presence of an indwelling urinary catheter or residence in a nursing home [3].…”
mentioning
confidence: 99%