CLINICAL AND MICROBIOLOGICAL CHARACTERIZATION IN SEPSIS PATIENTS CAUSED BY AEROMONAS HYDROPHILA AT NATIONAL HOSPITAL FOR TROPICAL DESEASE
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Abstract
Objective: Describe the clinical characteristics and microbiological characterization in patients with septicemia caused by A. hydrophila at National Hospital for Tropical Diseases. Materials and methodes: A cross-sectional study was carried all patients diagnosed with septicemia caused by A. hydrophila at National Hospital for Tropical Diseases during the period from 2011 to 2016. Results: A total of 32 patients with bacteremia due to A. hydrophila were identified. The disease occurs mainly in men (81.3%), patients were hospitalized year-round, but is most common in the rainy and hot months. The most common source of infection is the gastrointestinal tract (71.9%), skin and soft tissues (15.6%). The incidence of septic shock was 37.5%; Shock usually occurs on the 2nd or 3rd day of illness. More than 93% of clinical isolates were susceptible to cephalosporin III antibiotics, fluoroquinolones, aminoglycosides, and carbapenems. Most of isolates were resistant to ampicillin + sulbactam (87.5%), and multi-resistant to both fluoroquinolone and carbapenem (3 - 6%). The mortality were 34.4%.
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Keywords
Sepsis, A. hydrophila, antimicrobial resistant
References
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