Open AccessAcinetobacter Bacteremia in Hong Kong: Prospective Study and Review
Author(s) -
Hong Siau,
KwokYung Yuen,
PakLeung Ho,
S.P. Wong,
Patrick C. Y. Woo
Publication year - 1999
Publication title -
clinical infectious diseases/clinical infectious diseases (online. university of chicago. press)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/515068
Subject(s) - bacteremia , medicine , acinetobacter , acinetobacter baumannii , genotyping , epidemiology , isolation (microbiology) , prospective cohort study , microbiology and biotechnology , antibiotics , genotype , bacteria , biology , biochemistry , genetics , gene , pseudomonas aeruginosa
The epidemiological characteristics of 18 patients with acinetobacter bacteremia were analyzed. Patients (mean age, 55.5 years) developed bacteremia after an average of 14.1 days of hospitalization. Fifteen of 16 patients survived bacteremia caused by Acinetobacter baumannii. Cultures of blood from the remaining two patients yielded Acinetobacter lwoffii. Most patients (78%) resided in the general ward, while four patients (22%) were under intensive care. Genotyping by arbitrarily primed polymerase chain reaction analysis and the temporal sequence of isolation were more useful than phenotyping by antimicrobial susceptibility in the determination of the source of bacteremia, and the intravascular catheter was the leading infection source (39% of cases). The possibility of an association of glucose with the pathogenesis of acinetobacter infection was raised.