Skin and soft-tissue infections caused by Aeromonas species
Journal
European Journal of Clinical Microbiology and Infectious Diseases
Journal Volume
32
Journal Issue
4
Pages
543-547
Date Issued
2013
Author(s)
Abstract
This study investigated the clinical characteristics of patients with skin and soft-tissue infections (SSTIs) due to Aeromonas species. Patients with SSTIs caused by Aeromonas species during the period from January 2009 to December 2011 were identified from a computerized database of a regional hospital in southern Taiwan. The medical records of these patients were retrospectively reviewed. A total of 129 patients with SSTIs due to Aeromonas species were identified. A. hydrophila (n = 77, 59.7 %) was the most common pathogen, followed by A. veronii biovar sobria (n = 22, 17.1 %), A. veronii biovar veronii (n = 20, 15.5 %), A. caviae (n = 9, 7.0 %), and A. schubertii (n = 1, 0.8 %). The most common isolates obtained from patients with polymicrobial infections were Klebsiella species (n = 33), followed by Enterococcus spp. (n = 24), Enterobacter spp. (n = 21), Escherichia coli (n = 17), Staphylococcus spp. (n = 17), Streptococcus spp. (n = 17), and Acinetobacter spp. (n = 15). Liver cirrhosis and concomitant bacteremia were more common among patients with monomicrobial Aeromonas SSTIs than among patients with polymicrobial SSTIs. Nine (7 %) patients required limb amputations. The in-hospital mortality rate was 1.6 %. In conclusion, Aeromonas species should be considered as important causative pathogens of SSTIs, and most infections are polymicrobial. In addition, the clinical presentation differs markedly between patients with monomicrobial and those with polymicrobial Aeromonas SSTIs. ? 2012 Springer-Verlag Berlin Heidelberg.
SDGs
Other Subjects
amikacin; ampicillin; cefazolin; cephalosporin derivative; gentamicin; imipenem; sultamicillin; Acinetobacter; adult; Aeromonas; Aeromonas hydrophila; Aeromonas punctata; Aeromonas schubertii; Aeromonas sobria; Aeromonas veronii; antibiotic sensitivity; article; bacterium identification; bacterium isolate; bullous skin disease; comorbidity; concurrent infection; controlled study; diabetes mellitus; Enterobacter; Enterococcus; Escherichia coli; female; human; Klebsiella; limb amputation; liver cirrhosis; major clinical study; male; malignant neoplastic disease; medical record review; mortality; nonhuman; priority journal; respiratory failure; shock; skin infection; skin injury; soft tissue infection; Staphylococcus; Streptococcus; Adult; Aeromonas; Aged; Aged, 80 and over; Coinfection; Female; Gram-Negative Bacterial Infections; Hospitals; Humans; Male; Middle Aged; Prevalence; Skin Diseases, Bacterial; Soft Tissue Infections; Survival Analysis; Taiwan
Type
journal article