Prospective Nationwide Study of
            <i>Aeromonas</i>
            Infections in France

Lamy, Brigitte; Kodjo, Angéli; Laurent, François

doi:10.1128/jcm.00155-09

Cited by 102 publications

(113 citation statements)

References 35 publications

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“…Aeromonas and Vibrio were more commonly associated with skin infections than gastroenteritis in our setting, which has been previously reported 8 in contrast to some other studies. 16 Factors that may explain this are the high standards of safe drinking water available to our population and water temperatures that favor year-round growth of these organisms in recreational areas.…”

Section: Discussioncontrasting

confidence: 90%

Relative Frequency, Characteristics, and Antimicrobial Susceptibility Patterns of Vibrio spp., Aeromonas spp., Chromobacterium violaceum, and Shewanella spp. in the Northern Territory of Australia, 2000–2013

McAuliffe¹,

Hennessy²,

Baird³

2015

The American Society of Tropical Medicine and Hygiene

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Abstract. Vibrio, Aeromonas, Chromobacterium violaceum, and Shewanella (VACS) are water-associated Gramnegative organisms that can cause a variety of infections. The frequency, patient characteristics, and antimicrobial susceptibilities for 468 isolates from 442 patients from the Northern Territory were reviewed. Aeromonas spp. (312 of 468; 67%) were most commonly isolated followed by Vibrio spp. (71 of 468; 15%), Shewanella spp. (61 of 468; 13%), and C. violaceum (24 of 468; 5%). A strong male predominance was found (male to female ratio of 2.3:1). Skin and soft tissue isolations (373 of 468; 80%) from lower limb infections (222 of 371; 60%) were the most common clinical manifestation. The episodes were usually polymicrobial (281 of 468; 60%). Coisolates included Staphylococcus aureus (137 of 468; 29%), β-hemolytic streptococci (74 of 468; 16%), enterobacteriaceae (111 of 468; 24%), non-fermentative Gram-negative bacilli (35 of 468; 7%), and other VACS organisms (37 of 468; 8%). Antimicrobial resistance of VACS organisms to ciprofloxacin (0-4%), cefepime (0-3%), and gentamicin (0-0.8%) and Vibrio spp., Aeromonas spp., and Shewanella to cotrimoxazole (0-3%) was rarely shown. For water-associated lower limb skin and soft tissue infections in the tropics, clinicians should consider empirical antimicrobial therapy with agents active against S. aureus and VACS organisms.

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Section: Discussioncontrasting

confidence: 90%

Relative Frequency, Characteristics, and Antimicrobial Susceptibility Patterns of Vibrio spp., Aeromonas spp., Chromobacterium violaceum, and Shewanella spp. in the Northern Territory of Australia, 2000–2013

McAuliffe¹,

Hennessy²,

Baird³

2015

The American Society of Tropical Medicine and Hygiene

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“…A 1996 study of antibiotic susceptibility in clinical isolates of Aeromonas in Taiwan (5) concluded that certain cephalosporins (moxalactam, ceftazidime, and cefepime), amikacin, aztreonam, imipenem, and quinolones were reasonable choices for empirical treatment. A 2009 study of Aeromonas in France recommended that a cephalosporin or a quinolone be prescribed along with an aminoglycoside in cases of severe infection (6). We believe that the reported emerging resistance of Aeromonas to quinolones (1,10) and carbapenems (7,11), as well as aztreonam, cephalosporins, and aminoglycosides (this report), might influence physicians to employ polytherapy for empirical treatment of severe Aeromonas hydrophila infections.…”

mentioning

confidence: 79%

Aminoglycoside-Resistant Aeromonas hydrophila as Part of a Polymicrobial Infection following a Traumatic Fall into Freshwater

et al. 2011

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Amikacin is a first-line treatment for Aeromonas infection due to high efficacy. There are few reports of aminoglycoside-resistant Aeromonas spp. We report a soft tissue infection containing multiple pathogens, including a strain of Aeromonas hydrophila resistant to amikacin, tobramycin, and multiple cephalosporins. CASE REPORTA 35-year-old man presented to the emergency department of our academic tertiary care facility after suffering a right posterior leg laceration. He was walking on a wooden dock over the Chattahoochee River in Georgia when the structure collapsed beneath him. A wooden shard or a metal pipe underneath the dock lacerated his leg before he fell into the river, and the wound was exposed to water. Shortly after the fall, a physician friend cleaned the wound with povidone-iodine and sutured the laceration closed. He also received a tetanus booster and cephalexin at a local hospital. Past medical and surgical histories were unremarkable.

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“…The first group involves major trauma, the most common of which is near-drowning events, of which there are an estimated 16,000 to 160,000 instances in the United States annually (69). Recent cases of Aeromonas pneumonia accompanying septicemia have been linked to near-drowning events involving seawater (217), a shallow irrigation ditch, and other massive aquatic exposures (178,209). The rapid demise of patients in this setting can be as quick as 9 h from the initial insult to time of death (209).…”

Section: Respiratory Tract Infectionsmentioning

confidence: 99%

The GenusAeromonas: Taxonomy, Pathogenicity, and Infection

2010

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SUMMARY Over the past decade, the genus Aeromonas has undergone a number of significant changes of practical importance to clinical microbiologists and scientists alike. In parallel with the molecular revolution in microbiology, several new species have been identified on a phylogenetic basis, and the genome of the type species, A. hydrophila ATCC 7966, has been sequenced. In addition to established disease associations, Aeromonas has been shown to be a significant cause of infections associated with natural disasters (hurricanes, tsunamis, and earthquakes) and has been linked to emerging or new illnesses, including near-drowning events, prostatitis, and hemolytic-uremic syndrome. Despite these achievements, issues still remain regarding the role that Aeromonas plays in bacterial gastroenteritis, the extent to which species identification should be attempted in the clinical laboratory, and laboratory reporting of test results from contaminated body sites containing aeromonads. This article provides an extensive review of these topics, in addition to others, such as taxonomic issues, microbial pathogenicity, and antimicrobial resistance markers.

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Prospective Nationwide Study of Aeromonas Infections in France

Cited by 102 publications

References 35 publications

Relative Frequency, Characteristics, and Antimicrobial Susceptibility Patterns of Vibrio spp., Aeromonas spp., Chromobacterium violaceum, and Shewanella spp. in the Northern Territory of Australia, 2000–2013

Relative Frequency, Characteristics, and Antimicrobial Susceptibility Patterns of Vibrio spp., Aeromonas spp., Chromobacterium violaceum, and Shewanella spp. in the Northern Territory of Australia, 2000–2013

Aminoglycoside-Resistant Aeromonas hydrophila as Part of a Polymicrobial Infection following a Traumatic Fall into Freshwater

The GenusAeromonas: Taxonomy, Pathogenicity, and Infection

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