Wynik wyszukiwania w bazie Polska Bibliografia Lekarska GBL
Zapytanie:
GILAD
Liczba odnalezionych rekordów:
1
Przejście do opcji zmiany formatu
|
Wyświetlenie wyników w wersji do druku
1/1
Tytuł oryginału:
Extended-spectrum beta-lactamase-producing Enterobacteriaceae strains in community-acquired bacteremia in Southern Israel.
Autorzy:
Borer
Abraham,
Gilad
Jacob,
Menashe
Galia,
Peled
Nechama,
Riesenberg
Klaris,
Schlaeffer
Francisc
Źródło:
Med. Sci. Monitor 2002: 8 (1) s.CR44-CR47, tab., bibliogr. 21 poz.
Sygnatura GBL:
313,278
Hasła klasyfikacyjne GBL:
mikrobiologia
Typ dokumentu:
praca kazuistyczna
tytuł obcojęzyczny
Wskaźnik treści:
ludzie
dorośli = 65 r.ż.
płeć męska
płeć żeńska
Streszczenie angielskie:
Background: In recent years, extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae have emerged in many hospitals worldwide. The increasing dissemination and long-term carriage of these organisms within the community carry tremendous implications on the empirical therapy of community-acquired infection. Material/Methods: To evaluate the prevalence and clinical features of community-acqured bacteremia involving ESBL-producing Enterobacteriaceae in sousthern Israel (ESBL-P) we retrospectively studied all Enterobacteriaceae bacteremias during an 8-month period in the Negev region using medical and laboratory records. Antibiotic susceptibility was determined using teh disk-diffusion method. ESBL production was determined using an E-test ESBL strip. Cases involving ESBL-P were compared to those involving non-producing strains (ESBL-NP) using the ch-square test. Results: In all, 187 Enterobacteriaceae bacteremias were de tected, of which 119 were community-acquired (63.6 p.c.). ESBL-P were found in sic cases (5 p.c.) which are d es c ribed herein in greater detail. Patients with ESBL-P bacteremia were older, and were more likely to stay in the intensive-care unit. Urinary catherterization and bed-ridden contidions were significant risk factorsfor ESBL-P. ESBL-P strains were significantly resistant to nearly all antibiotic agents except of imipienem and piperacillin-tazobaectam as opposing to ESBL-NP. Patients with ESBL-Pbacteremia were more likely to suffer from complications and had a higher mortality. Conclusions: This paper is the first to describe community-acquired Enterobaacteriaceae bacteremia involving ESBL-P strain in Israel. Although the exact prevalence of these organisms in Israel is currently unknown, our findings suggest that ESBL-producers have already begu to disseminate in our community.
stosując format:
z abstraktem i deskryptorami
z abstraktem
z deskryptorami
skrócony