Relative frequency of nosocomial pathogens at a university hospital during the decade 1980 to 1989

Weber, David J.; Rutala, William A.; Samsa, Gregory P.; Wilson, Mandy; Hoffmann, Karen K.

doi:10.1016/s0196-6553(05)80145-2

Cited by 40 publications

(18 citation statements)

References 8 publications

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“…We do not know the prevalence of H. alvei colonization of the oropharyngeal-tracheal regions and other bodily sites in healthy persons or patients with underlying diseases. In large studies [20][21], this bacterium was rarely recovered from any site, making nosocomial infection improbable and emphasizing the likelihood of endogenous colonization in most patients before admission to the hospital.…”

Section: Discussionmentioning

confidence: 99%

Clinical Significance of Extraintestinal Hafnia alvei Isolates from 61 Patients and Review of the Literature

Günthard¹,

Pennekamp²

1996

Clinical Infectious Diseases

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Hafnia alvei is a gram-negative bacterium that is rarely isolated from human specimens and is rarely considered to be pathogenic. It has been associated with gastroenteritis, meningitis, bacteremia, pneumonia, nosocomial wound infections, endophthalmitis, and a buttock abscess. We studied 80 H. alvei isolates recovered from 61 patients within a period of 30 months. H. alvei was cultured from sites that included the respiratory tract (n = 38), the gastrointestinal tract (n = 16), and the urogenital tract (n = 12); the organism was found in blood cultures (n = 8), on central venous catheters (n = 3), and on the skin (n = 3). Only 25% of H. alvei isolates were recovered in pure cultures. Fifty-seven (93.4%) of the patients had an underlying illness. H. alvei proved to be the etiologic agent in two episodes of septicemia and in one episode of peritonitis and was probably responsible for septicemia in two other patients and pneumonia in one. All six of these patients recovered after receiving antibiotic treatment and/or standard surgical treatment, when needed. Three of these infections were nosocomial, and three were community acquired. Of the strains of H. alvei tested in our study, 100% were susceptible to netilmicin, ciprofloxacin, and imipenem; 92% were susceptible to piperacillin; 90% were susceptible to co-trimoxazole; and 88% were susceptible to ceftriaxone and ceftazidime. In this study, we found H. alvei to be a rare but significant etiologic agent of nosocomial and community-acquired infections.

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Section: Discussionmentioning

confidence: 99%

Clinical Significance of Extraintestinal Hafnia alvei Isolates from 61 Patients and Review of the Literature

Günthard¹,

Pennekamp²

1996

Clinical Infectious Diseases

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“…Data from the National Nosocomial Infections Surveillance System and other hospitals in the USA show that these changes have had a profound impact on the epidemiology of fungal infections, including the increasing incidence of Candida bloodstream infections (1,2,13,14). So far, only one European study has addressed the increasing problem of fungemia.…”

Section: Discussionmentioning

confidence: 99%

Occurrence of yeast bloodstream infections between 1987 and 1995 in five Dutch university hospitals

Voß¹,

Kluytmans

Koeleman

et al. 1996

Eur. J. Clin. Microbiol. Infect. Dis.

115

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“…Although an increase of candiduria among hospitalized patients has been reported, the significance of the presence of yeasts in the urine of patients is not clearly understood (Weber et al 1992, Nucci 2000. A common clinical problem is to deciding whether candiduria represents urinary tract infections or merely bladder colonization or contamination (Akalm et al 2004).…”

mentioning

confidence: 99%

Candida colonization in intensive care unit patients' urine

Passos

Sales

Maciel

et al. 2005

Mem. Inst. Oswaldo Cruz

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Relative frequency of nosocomial pathogens at a university hospital during the decade 1980 to 1989

Cited by 40 publications

References 8 publications

Clinical Significance of Extraintestinal Hafnia alvei Isolates from 61 Patients and Review of the Literature

Clinical Significance of Extraintestinal Hafnia alvei Isolates from 61 Patients and Review of the Literature

Occurrence of yeast bloodstream infections between 1987 and 1995 in five Dutch university hospitals

Candida colonization in intensive care unit patients' urine

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