ANTIBIOTIC-TREATMENT OF YERSINIA-ENTEROCOLITICA SEPTICEMIA - A RETROSPECTIVE REVIEW OF 43 CASES

被引:60
|
作者
GAYRAUD, M
SCAVIZZI, MR
MOLLARET, HH
GUILLEVIN, L
HORNSTEIN, MJ
机构
[1] UNIV PARIS NORD, HOP AVICENNE, SERV BACTERIOL VIROL, 125 ROUTE STALINGRAD, F-93009 BOBIGNY, FRANCE
[2] UNIV PARIS NORD, HOP AVICENNE, SERV MED INTERNE, F-93009 BOBIGNY, FRANCE
[3] INST PASTEUR, UNITE ECOL BACTERIENNE, F-75724 PARIS 15, FRANCE
关键词
D O I
10.1093/clinids/17.3.405
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Of 53 documented cases of Yersinia enterocolitica septicemia reported to the French national registry between 1985 and 1991, 43 files contained sufficient information on antibiotic treatment to be analyzed retrospectively. All patients had at least two positive cultures of blood collected before the initiation of treatment. All strains were susceptible in vitro to the antibiotics that are usually active against gram-negative rods except for older beta-lactam agents (i.e., aminopenicillins and first-generation cephalosporins). No multiresistant strain was isolated. Only four (7.5%) of the 53 patients died. Aminopenicillins, first-generation cephalosporins, and-when prescribed alone-amoxicillin/clavulanate were not effective. Third-generation cephalosporins, most often used in combination with other antibiotics, were successful in 85% of cases. Fluoroquinolones-alone or in combination-cured all of 15 infections, with patients improving rapidly and becoming apyretic within 1-4 days. These agents therefore seem to constitute the best treatment.
引用
收藏
页码:405 / 410
页数:6
相关论文
共 50 条
  • [31] A SYNOPTIC REVIEW ON YERSINIA-ENTEROCOLITICA
    SCHIEMANN, DA
    JOURNAL OF ENVIRONMENTAL HEALTH, 1982, 44 (04) : 183 - 187
  • [32] INTRAFAMILIAL CASES OF YERSINIA-ENTEROCOLITICA APPENDICITIS
    FUKUSHIMA, H
    ITO, Y
    SAITO, K
    KURODA, K
    INOUE, J
    TSUBOKURA, M
    OTSUKI, K
    MICROBIOLOGY AND IMMUNOLOGY, 1981, 25 (01) : 71 - 73
  • [33] TRANSFER ANTIBIOTIC-RESISTANCE OF YERSINIA-ENTEROCOLITICA
    ZAREMBA, ML
    MEDECINE ET MALADIES INFECTIEUSES, 1983, 13 (2BIS): : 117 - 127
  • [34] YERSINIA-ENTEROCOLITICA SEPTICEMIA AND IDIOPATHIC HEMOCHROMATOSIS - ROLE OF IRON OVERLOAD
    JACQUENOD, P
    POITRINE, A
    LOISEAU, D
    NAVEAU, S
    GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE, 1984, 8 (03): : 293 - 294
  • [35] BULLOUS SKIN-LESIONS ASSOCIATED WITH YERSINIA-ENTEROCOLITICA SEPTICEMIA
    OLBRYCH, TG
    ZARCONI, J
    FILE, TM
    TRAEGER, SM
    TAN, JS
    AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1984, 287 (03): : 38 - 39
  • [36] SEPTICEMIA DUE TO YERSINIA-ENTEROCOLITICA AFTER ORAL OVERDOSES OF IRON
    MELBY, K
    SLORDAHL, S
    GUTTEBERG, TJ
    NORDBO, SA
    BRITISH MEDICAL JOURNAL, 1982, 285 (6340): : 467 - 468
  • [37] ASPECTS OF THE EPIDEMIOLOGY OF YERSINIA-ENTEROCOLITICA - A REVIEW
    ANDERSEN, JK
    SORENSEN, R
    GLENSBJERG, M
    INTERNATIONAL JOURNAL OF FOOD MICROBIOLOGY, 1991, 13 (03) : 231 - 238
  • [38] REACTIVE ARTHRITIS TRIGGERED BY YERSINIA-ENTEROCOLITICA - A REVIEW OF 18 PEDIATRIC CASES
    TACCETTI, G
    TRAPANI, S
    ERMINI, M
    FALCINI, F
    CLINICAL AND EXPERIMENTAL RHEUMATOLOGY, 1994, 12 (06) : 681 - 684
  • [39] YERSINIA-ENTEROCOLITICA SEPTICEMIA IN INFANTS YOUNGER THAN 3 MONTHS OF AGE
    CHALLAPALLI, M
    CUNNINGHAM, DG
    PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1993, 12 (02) : 168 - 169
  • [40] IRON SEPSIS - YERSINIA-ENTEROCOLITICA SEPTICEMIA POSSIBLY CAUSED BY AN OVERDOSE OF IRON
    MOFENSON, HC
    CARACCIO, TR
    SHARIEFF, N
    NEW ENGLAND JOURNAL OF MEDICINE, 1987, 316 (17): : 1092 - 1093