Clinical and Drug Resistance Characteristics of Infections.

Microorganisms

Division of Infectious Diseases, Department of Internal Medicine, Henry Ford St. John Hospital, 22101 Moross Road, Detroit, MI 48236, USA.

Published: October 2024

AI Article Synopsis

  • * Out of 312 initial patients, 68 cases were identified, primarily involving bacteremia and urinary tract infections, with a mean patient age of 70 years and a high rate of prior urinary catheter use (65.2%).
  • * Most infections were treated successfully with third-generation cephalosporins, though only a small fraction (7.2%) exhibited multidrug resistance; overall mortality during hospital admission was 27.1%, but unrelated to the infections caused by this bacterium.

Article Abstract

is a G ram-negative bacillus that most frequently colonizes the urinary tract and is often resistant to many antimicrobials. This study aimed to evaluate the resistance patterns of spp. and clinical outcomes due to the paucity of data. A multi-center, descriptive, retrospective chart review of adult patients with spp. infections was conducted from 1 January 2020 to 31 May 2022. The primary outcome was to describe the drug resistance patterns of spp. isolates. This study's secondary outcome was to evaluate the clinical outcomes of patients with spp. infections. Of the 312 patients screened, 244 were excluded primarily for polymicrobial infections. The mean age was 70 years, and 39 (56.5%) were males. Of the 68 included cases, 46 (67.6%) were , 20 (29.4%) were , and 2 (2.9%) were . The most common infections were bacteremia 38 (55.8%), followed by 27 (39.7%) urinary tract infections and 3 (4.4%) wound infections. In this study, 45 patients (65.2%) had urinary catheters. The primary antibiotics used for treatment consisted of ceftriaxone (25 (36.2%)), cefepime (20 (29%)), and meropenem (10 (14.5%)). Only 5 of 68 (7.2%) cases were multidrug- resistant and required meropenem. In total, 19 patients (27.1%) died during their admission, but none were related to Providencia infections. A total of 10 of the 68 patients (14.5%) were readmitted within 30 days for reasons unrelated to the progression or recurrence of Providencia infections. bacteremia is predominantly seen in elderly patients. Third- generation cephalosporins remain an appropriate choice of antibiotics for spp. was the only species with multidrug resistance.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11510300PMC
http://dx.doi.org/10.3390/microorganisms12102085DOI Listing

Publication Analysis

Top Keywords

infections
9
drug resistance
8
urinary tract
8
resistance patterns
8
patterns spp
8
clinical outcomes
8
patients spp
8
spp infections
8
infections bacteremia
8
total patients
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!