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Sepsis—A Retrospective Cohort Study of Bloodstream Infections
Bloodstream infections (BSIs) are among the leading causes of morbidity and mortality worldwide, among infectious diseases. Local knowledge of the main bacteria involved in BSIs and their associated antibiotic susceptibility patterns is essential to rationalize the empiric antimicrobial therapy. The...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7760988/ https://www.ncbi.nlm.nih.gov/pubmed/33260698 http://dx.doi.org/10.3390/antibiotics9120851 |
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author | Santella, Biagio Folliero, Veronica Pirofalo, Gerarda Maria Serretiello, Enrica Zannella, Carla Moccia, Giuseppina Santoro, Emanuela Sanna, Giuseppina Motta, Oriana De Caro, Francesco Pagliano, Pasquale Capunzo, Mario Galdiero, Massimiliano Boccia, Giovanni Franci, Gianluigi |
author_facet | Santella, Biagio Folliero, Veronica Pirofalo, Gerarda Maria Serretiello, Enrica Zannella, Carla Moccia, Giuseppina Santoro, Emanuela Sanna, Giuseppina Motta, Oriana De Caro, Francesco Pagliano, Pasquale Capunzo, Mario Galdiero, Massimiliano Boccia, Giovanni Franci, Gianluigi |
author_sort | Santella, Biagio |
collection | PubMed |
description | Bloodstream infections (BSIs) are among the leading causes of morbidity and mortality worldwide, among infectious diseases. Local knowledge of the main bacteria involved in BSIs and their associated antibiotic susceptibility patterns is essential to rationalize the empiric antimicrobial therapy. The aim of this study was to define the incidence of infection and evaluate the antimicrobial resistance profile of the main pathogens involved in BSIs. This study enrolled patients of all ages and both sexes admitted to the University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy between January 2015 to December 2019. Bacterial identification and antibiotic susceptibility testing were performed with Vitek 2. A number of 3.949 positive blood cultures were included out of 24,694 total blood cultures from 2015 to 2019. Coagulase-negative staphylococci (CoNS) were identified as the main bacteria that caused BSI (17.4%), followed by Staphylococcus aureus (12.3%), Escherichia coli (10.9%), and Klebsiella pneumoniae (9.4%). Gram-positive bacteria were highly resistant to Penicillin G and Oxacillin, while Gram-negative strains to Ciprofloxacin, Cefotaxime, Ceftazidime, and Amoxicillin-clavulanate. High susceptibility to Vancomycin, Linezolid, and Daptomycin was observed among Gram-positive strains. Fosfomycin showed the best performance to treatment Gram-negative BSIs. Our study found an increase in resistance to the latest generation of antibiotics over the years. This suggests an urgent need to improve antimicrobial management programs to optimize empirical therapy in BSI. |
format | Online Article Text |
id | pubmed-7760988 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-77609882020-12-26 Sepsis—A Retrospective Cohort Study of Bloodstream Infections Santella, Biagio Folliero, Veronica Pirofalo, Gerarda Maria Serretiello, Enrica Zannella, Carla Moccia, Giuseppina Santoro, Emanuela Sanna, Giuseppina Motta, Oriana De Caro, Francesco Pagliano, Pasquale Capunzo, Mario Galdiero, Massimiliano Boccia, Giovanni Franci, Gianluigi Antibiotics (Basel) Article Bloodstream infections (BSIs) are among the leading causes of morbidity and mortality worldwide, among infectious diseases. Local knowledge of the main bacteria involved in BSIs and their associated antibiotic susceptibility patterns is essential to rationalize the empiric antimicrobial therapy. The aim of this study was to define the incidence of infection and evaluate the antimicrobial resistance profile of the main pathogens involved in BSIs. This study enrolled patients of all ages and both sexes admitted to the University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy between January 2015 to December 2019. Bacterial identification and antibiotic susceptibility testing were performed with Vitek 2. A number of 3.949 positive blood cultures were included out of 24,694 total blood cultures from 2015 to 2019. Coagulase-negative staphylococci (CoNS) were identified as the main bacteria that caused BSI (17.4%), followed by Staphylococcus aureus (12.3%), Escherichia coli (10.9%), and Klebsiella pneumoniae (9.4%). Gram-positive bacteria were highly resistant to Penicillin G and Oxacillin, while Gram-negative strains to Ciprofloxacin, Cefotaxime, Ceftazidime, and Amoxicillin-clavulanate. High susceptibility to Vancomycin, Linezolid, and Daptomycin was observed among Gram-positive strains. Fosfomycin showed the best performance to treatment Gram-negative BSIs. Our study found an increase in resistance to the latest generation of antibiotics over the years. This suggests an urgent need to improve antimicrobial management programs to optimize empirical therapy in BSI. MDPI 2020-11-28 /pmc/articles/PMC7760988/ /pubmed/33260698 http://dx.doi.org/10.3390/antibiotics9120851 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Santella, Biagio Folliero, Veronica Pirofalo, Gerarda Maria Serretiello, Enrica Zannella, Carla Moccia, Giuseppina Santoro, Emanuela Sanna, Giuseppina Motta, Oriana De Caro, Francesco Pagliano, Pasquale Capunzo, Mario Galdiero, Massimiliano Boccia, Giovanni Franci, Gianluigi Sepsis—A Retrospective Cohort Study of Bloodstream Infections |
title | Sepsis—A Retrospective Cohort Study of Bloodstream Infections |
title_full | Sepsis—A Retrospective Cohort Study of Bloodstream Infections |
title_fullStr | Sepsis—A Retrospective Cohort Study of Bloodstream Infections |
title_full_unstemmed | Sepsis—A Retrospective Cohort Study of Bloodstream Infections |
title_short | Sepsis—A Retrospective Cohort Study of Bloodstream Infections |
title_sort | sepsis—a retrospective cohort study of bloodstream infections |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7760988/ https://www.ncbi.nlm.nih.gov/pubmed/33260698 http://dx.doi.org/10.3390/antibiotics9120851 |
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