Epidemiological profile of enterobacter infections in the Clinica Cardiovascular Santa Maria in Medellin, august 2004 – august 2006 Colombia

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Octavio Domínguez Soto
John Camilo Hernández Foronda
Natalia Piedrahíta Palacio
Nataly Saldarriaga Mejía
Diego Mauricio Vanegas Cardona
Juan Carlos González Arroyave

Abstract

Objective: to describe the clinical and epidemiological characteristics of infections by Enterobacter.


Methods: clinical records of 54 patients who had been hospitalized and had received a confirmed diagnosis of Enterobacter infection were reviewed.


Results: 64.8% of patiens were male, with a mean age of 48. The species which were most commonly isolated included E. cloacae (75%) and E. aerogenes (17%). Mean time for isolation was 9 days after admission to the hospital ward. The samples from which the microorganisms were most commonly isolated were urine (42%) and blood (34%). Urinary tract and bloodstream infection were the most commonly caused by Enterobacter. The infection was considered to be hospital-acquired in 75% of cases. Betalactams antibiotics were the empirical choice at the time of treatment, after the infection diagnosis and before the results of antibiograms the treatment was adjusted in 78% of the patients.


Conclusion: it is important to keep in mind the local resistance profiles when it comes to treatment of this infection in the institution.

Keywords:
Enterobacter, opportunistic infections, cross Infection, healthcare-associated infections

Article Details

Author Biographies

Octavio Domínguez Soto, Pontifical Bolivarian University

Students Faculty of Medicine. Pontifical Bolivarian University.

John Camilo Hernández Foronda, Pontifical Bolivarian University

Students Faculty of Medicine. Pontifical Bolivarian University.

Natalia Piedrahíta Palacio, Pontifical Bolivarian University

Students Faculty of Medicine. Pontifical Bolivarian University.

Nataly Saldarriaga Mejía, Pontifical Bolivarian University

Students Faculty of Medicine. Pontifical Bolivarian University.

Diego Mauricio Vanegas Cardona, Pontifical Bolivarian University

Students Faculty of Medicine. Pontifical Bolivarian University.

Juan Carlos González Arroyave, Pontifical Bolivarian University

Physician, Clinical Microbiologist and Epidemiologist - Professor of the Pontificia Bolivariana University School of Medicine - Scientific Director of the Santa María de Medellín Cardiovascular Clinic.

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