Clinical and microbiological characteristics of Aeromonas bacteremia in Turkey

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dc.authorid0000-0001-8022-7325
dc.authorid0000-0001-8945-2385
dc.contributor.authorKaya, Abdurrahman
dc.contributor.authorYıldız Kaya, Sibel
dc.contributor.authorZerdali, Esra
dc.contributor.authorKoç, Alper
dc.contributor.authorÇağlar, Bilge
dc.contributor.authorErtürk, Ümran Şümeyse
dc.contributor.authorYılmaz, Mesut
dc.contributor.authorAygün, Gökhan
dc.contributor.authorBalkan, İlker İnanç
dc.contributor.authorMete, Bilgül
dc.contributor.authorSaltoğlu, Neşe
dc.contributor.authorMert, Ali
dc.contributor.authorTabak, Ömer Fehmi
dc.date.accessioned2021-12-16T08:44:39Z
dc.date.available2021-12-16T08:44:39Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Ana Bilim Dalı
dc.description.abstractWe investigated the cases with Aeromonas bacteremia in terms of clinical and microbiological characteristics, underlying disease and mortality rates. Patients with positive blood cultures were included in this research. Aeromonas bacteremia was diagnosed as at least one positive blood culture for Aeromonas species. The bacteremia was defined as community origin if the onset was in the community or within 72 hours of hospital admission. The others were considered as nosocomial. All bacteria were defined as Aeromonas with conventional method. Species identification was verified by VITEK system. Antibiotic susceptibility tests were analyzed with the disc diffusion, E-test method or VITEK system. Thirty-three patients were diagnosed with bacteremia due to Aeromonas spp. Hematologic and solid tumors were the leading underlying conditions, followed by cirrhosis. Two patients (6%) had community-acquired infections. Aeromonas hydrophila was the most common isolated bacterium. The crude mortality rate was 36%. 12 patients died and 6 deaths and 4 deaths were detected in patients with bacteremia caused by A. hydrophila and Aeromonas sobria respectively. All strains were resistant to ampicillin and more than 90% of the strains were susceptible to trimethoprim-sulfamethoxazole, fluoroquinolone, third generation cephalosporins, and carbapenems. Aeromonas sp. is not a frequent cause of bacteremia however, it may lead to high mortality rates, especially in the immunocompromised hosts and patients with liver cirrhosis. Nosocomial Aeromonas bacteremia is not uncommon in these populations. Broad-spectrum cephalosporins, piperacillin-tazobactam, fluoroquinolones, and carbapenems remain as effective antimicrobial agents for therapy of Aeromonas bacteremia.
dc.identifier.citationKaya, A., Yıldız Kaya, S., Zerdali, E., Koç, A., Çağlar, B., Ertürk, Ü. Ş. ... Tabak, Ö. F. (2021). Clinical and microbiological characteristics of Aeromonas bacteremia in Turkey. Acta Microbiologica et Immunologica Hungarica, 68(4), 267-272. https://dx.doi.org/10.1556/030.2021.01449
dc.identifier.doi10.1556/030.2021.01449
dc.identifier.endpage272
dc.identifier.issn1217-8950
dc.identifier.issn1588-2640
dc.identifier.issue4
dc.identifier.scopusqualityQ3
dc.identifier.startpage267
dc.identifier.urihttps://dx.doi.org/10.1556/030.2021.01449
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8684
dc.identifier.volume68
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAkademiai Kiado Zrt
dc.relation.ispartofActa Microbiologica et Immunologica Hungaricaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAeromonas Spp
dc.subjectBacteremia
dc.subjectAntibiotic
dc.subjectInfection
dc.subjectNosocomial
dc.titleClinical and microbiological characteristics of Aeromonas bacteremia in Turkey
dc.typeArticle

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