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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
An 8-year survey of strains identified in blood cultures in a clinical haematology unit
Clinical Microbiology and Infection, Volume 20, No. 1, Year 2014
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Description
The aim of our study was to determine the epidemiological profile and the antibiotic susceptibility of bacteria and fungi identified from blood cultures in the patients of the clinical haematology unit. A retrospective study was carried out over an 8-year period (2003-2010) in the clinical haematology unit of the Percy Military Medical Center. During this period, we collected 723 isolates: Gram-negative bacilli (70.8%) and Gram-positive cocci (18.7%). The four most commonly isolated species were Escherichia coli (18.5%), Pseudomonas aeruginosa (14.8%), Stenotrophomonas maltophilia (6.2%) and Staphylococcus epidermidis (5.4%). The rate of methicillin-resistant Sthaphylococcus aureus was 6.45% and that of coagulase-negative staphylococci 61.2%. No resistance to glycopeptides was observed. In E. coli, as in the Klebsiella-Enterobacter-Serratia group, a 27% resistance to fluoroquinolones was observed. Concerning P. aeruginosa, the phenotypes were distributed over penicillinase (23.4%) and cephalosporinase (13.1% were resistant to ceftazidime). The impermeability rate of imipenem was 9.3%. The aggressiveness and duration of haematological treatments explains why infections remain one of the main complications of neutropenia. The emergence of new or unusual bacteria is highly likely. Antibiotic selective pressure and long periods of hospitalization could explain the emergence of multiresistant bacteria. As a consequence, epidemiological surveillance is indispensable. © 2013 European Society of Clinical Microbiology and Infectious Diseases.
Authors & Co-Authors
Bousquet, Aurore A.
France, Clamart
Hôpital D'instruction Des Armées Percy
Malfuson, Jean Valére
France, Clamart
Hôpital D'instruction Des Armées Percy
Sanmartin, N.
France, Clamart
Hôpital D'instruction Des Armées Percy
Konopacki, Johanna
France, Clamart
Hôpital D'instruction Des Armées Percy
Macnab, C.
France, Clamart
Hôpital D'instruction Des Armées Percy
Souleau, Bertrand
France, Clamart
Hôpital D'instruction Des Armées Percy
de Revel, Thierry
France, Clamart
Hôpital D'instruction Des Armées Percy
Élouennass, Mostafa
Morocco, Agdal Rabat
Hôpital D'instruction Des Armées Mohamed V
Samson, Thierry
France, Clamart
Hôpital D'instruction Des Armées Percy
Soler, Charles P.
France, Clamart
Hôpital D'instruction Des Armées Percy
Foissaud, Vincent
France, Clamart
Hôpital D'instruction Des Armées Percy
Martinaud, Christophe
France, Clamart
Hôpital D'instruction Des Armées Percy
Statistics
Citations: 35
Authors: 12
Affiliations: 2
Identifiers
Doi:
10.1111/1469-0691.12294
ISSN:
1198743X
e-ISSN:
14690691
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative