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Document Type |
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Article In Journal |
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Document Title |
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Enterococcal bacteremia in a tertiary care center in Winnipeg. Enterococcal bacteremia in a tertiary care center in Winnipeg. |
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Document Language |
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English |
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Abstract |
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Objective: To review experience with enterococcal bacteremia prior to the emergence of
vancomycin resistant enterococcus at a tertiary care teaching hospital.
Design: Retrospective chart review of episodes of enterococcal bacteremia identified through the clinical microbiology laboratory from January 1990 to December 1994. Antimicrobial susceptibilities were performed for all isolates, and pulsed-field gel electrophoresis for genetic typing of selected strains.
Results: 126 episodes of bacteremia were identified in 109 patients; 108 E. faecalis, 13 E.
faecium, 4 both E. faecalis and E. faecium, and 1 E. durans. Enterococcal isolates occurred with polymicrobial bacteremia in 62 (49 %) episodes. The most common sites of infection were central venous catheter (45%) and urinary infection (21%). Enterococcal bacteremia was usually nosocomially acquired (88%), and associated with older age, instrumentation, and prior or current antimicrobial therapy. overall mortality was 22%, and 7.2% partially or fully attributable to enterococcal bacteremia. Resistance to ampicillin, high level gentamicin, and high level streptomycin were 0, 32%, and 31% for E. faecalis, and 44%, 0, and 47% for E. faecium, respectively.
Conclusion: During this review the frequency and impact of enterococcal bacteremia at this institution was relatively limited. Isolates resistant to ampicillin and aminoglycosides were emerging, but differences in patient outcomes were similar for resistant and susceptible isolates. |
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ISSN |
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11139101 |
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Journal Name |
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Canadian Journal of Infectious Diseases |
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Volume |
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10 |
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Issue Number |
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1 |
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Publishing Year |
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1999 AH
1999 AD |
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Article Type |
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Article |
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Added Date |
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Saturday, May 15, 2010 |
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Researchers
| طارق مدني | Madani, Tariq | Researcher | Doctorate | tmadani@kau.edu.sa |
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