https://scholars.lib.ntu.edu.tw/handle/123456789/528523
標題: | Clinical manifestation and prognostic factors of non-cholerae Vibrio infections | 作者: | Hou C.C. Lai C.C. Liu W.L. Chao C.M. Chiu Y.H. PO-REN HSUEH |
公開日期: | 2011 | 卷: | 30 | 期: | 6 | 起(迄)頁: | 819-824 | 來源出版物: | European Journal of Clinical Microbiology and Infectious Diseases | 摘要: | Infections caused by non-cholerae Vibrio are uncommon. From July 2004 to June 2010, a total of 218 isolates of Vibrio species were identified from 171 patients treated at Chi Mei Medical Center, Taiwan. A total of 173 isolates of non-cholerae Vibrio species were isolated from 127 patients. The most common type of infection was acute gastroenteritis (59.8%), followed by skin and soft tissue infection (SSTI) (26.0%) and primary bacteremia (11.0%). Other types of infection included biliary tract infection, peritonitis, and acute otitis media, each at a rate of less than 2%. For patients with acute gastroenteritis, V. parahaemolyticus comprised 92.1% of cases, but V. vulnificus was the most common pathogen causing SSTI. All episodes of bacteremia were caused by V. vulnificus. The all-cause mortality rate was 18.8% of 32 patients with SSTI and the fatality rate was significantly higher among patients with decreased albumin, elevated lactate, use of mechanical ventilation, intensive care unit (ICU) admission, and the presence of shock. In conclusion, non-cholerae Vibrio species caused protean manifestations that vary with the infecting Vibrio species. This epidemiological study helps physicians to better understand the clinical characteristics of infections caused by different non-cholerae Vibrio species. ? 2011 Springer-Verlag. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/528523 | ISSN: | 0934-9723 | DOI: | 10.1007/s10096-011-1162-9 | SDG/關鍵字: | albumin; amikacin; ampicillin; cefazolin; cefpirome; ceftazidime; cefuroxime; ciprofloxacin; flomoxef; gentamicin; lactic acid; lomefloxacin; piperacillin plus tazobactam; sultamicillin; acute gastroenteritis; acute otitis media; adult; article; artificial ventilation; bacteremia; bacterial virulence; bacterium isolation; biliary tract infection; cholera; clinical feature; controlled study; diabetes mellitus; female; human; infection; intensive care; liver cirrhosis; major clinical study; male; microbiology; mortality; nonhuman; outcome assessment; pathogenesis; peritonitis; priority journal; seasonal variation; shock; skin and soft tissue infection; symptomatology; Taiwan; treatment response; Vibrio cholerae; Vibrio parahaemolyticus; Vibrio vulnificus; Adult; Aged; Aged, 80 and over; Bacteremia; Female; Gastroenteritis; Humans; Incidence; Male; Middle Aged; Skin Diseases, Bacterial; Soft Tissue Infections; Taiwan; Vibrio; Vibrio Infections |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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