Antibiotic Treatment of Yersinia enterocolitica Septicemia: A Retrospective Review of 43 Cases
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...
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| Veröffentlicht in: | Clinical infectious diseases 1993-09, Vol.17 (3), p.405-410 |
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| creator | Gayraud, Martine Scavizzi, Maurice R. Mollaret, Henri H. Guillevin, Loïc Hornstein, Michèle J. |
| description | 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 β-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. |
| doi_str_mv | 10.1093/clinids/17.3.405 |
| format | Article |
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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 β-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.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1093/clinids/17.3.405</identifier><identifier>PMID: 8218681</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Aminoglycosides ; Anti-Bacterial Agents - therapeutic use ; Antibacterial agents ; Antibiotics ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; Bacteremia - drug therapy ; Biological and medical sciences ; Blood ; Cephalosporins ; Child ; Child, Preschool ; Clinical Infectious Disease Articles ; Female ; Fluoroquinolones ; Humans ; Infections ; Male ; Medical sciences ; Middle Aged ; Mortality ; Pharmacology. Drug treatments ; Retrospective Studies ; Sepsis ; Yersinia ; Yersinia enterocolitica ; Yersinia enterocolitica - drug effects ; Yersinia enterocolitica - isolation & purification ; Yersinia Infections - drug therapy</subject><ispartof>Clinical infectious diseases, 1993-09, Vol.17 (3), p.405-410</ispartof><rights>Copyright 1993 The University of Chicago</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-bb0e2b9aa1264ac9e30cc17d3d84b10a23a6e8badc2686ce70393082b417f6c13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/4457313$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/4457313$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>309,310,314,778,782,787,788,801,23913,23914,25123,27907,27908,58000,58233</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4886933$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8218681$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gayraud, Martine</creatorcontrib><creatorcontrib>Scavizzi, Maurice R.</creatorcontrib><creatorcontrib>Mollaret, Henri H.</creatorcontrib><creatorcontrib>Guillevin, Loïc</creatorcontrib><creatorcontrib>Hornstein, Michèle J.</creatorcontrib><title>Antibiotic Treatment of Yersinia enterocolitica Septicemia: A Retrospective Review of 43 Cases</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><description>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 β-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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aminoglycosides</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibacterial agents</subject><subject>Antibiotics</subject><subject>Antibiotics. Antiinfectious agents. Antiparasitic agents</subject><subject>Bacteremia - drug therapy</subject><subject>Biological and medical sciences</subject><subject>Blood</subject><subject>Cephalosporins</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical Infectious Disease Articles</subject><subject>Female</subject><subject>Fluoroquinolones</subject><subject>Humans</subject><subject>Infections</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Pharmacology. Drug treatments</subject><subject>Retrospective Studies</subject><subject>Sepsis</subject><subject>Yersinia</subject><subject>Yersinia enterocolitica</subject><subject>Yersinia enterocolitica - drug effects</subject><subject>Yersinia enterocolitica - isolation & purification</subject><subject>Yersinia Infections - drug therapy</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1v1DAQxSMEKqVw5wBSDhW3bD2xYzvcVgu0qEUIukjAAWviTCSXfCy2t9D_vl5ttD1yGo9-7z2NX5a9BLYAVvMz27vRteEM1IIvBKseZcdQcVXIqobH6c0qXQjN9dPsWQg3jAFoVh1lR7oELTUcZ7-WY3SNm6Kz-doTxoHGmE9d_oN8SNmYp538ZKfeJQ3m17RJkwaHb_Nl_pWin8KGbHS3lLZbR393bsHzFQYKz7MnHfaBXszzJPv24f16dVFcfT7_uFpeFVaoOhZNw6hsakQopUBbE2fWgmp5q0UDDEuOknSDrS2llpYU4zVnumwEqE5a4CfZm33uxk9_thSiGVyw1Pc40rQNRknGVWrmv0KQinPJVBKyvdCmDwZPndl4N6C_M8DMrnszd29AGW5S98nyes7eNgO1B8NcduKnM8dgse88jtaFg0xoLWu-O_HVXnYT4uQfsKgUhx0u9tiFSP8OGP1vk25Xlbn4_tO8-7Suv4jrc3PJ7wF0babh</recordid><startdate>19930901</startdate><enddate>19930901</enddate><creator>Gayraud, Martine</creator><creator>Scavizzi, Maurice R.</creator><creator>Mollaret, Henri H.</creator><creator>Guillevin, Loïc</creator><creator>Hornstein, Michèle J.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>19930901</creationdate><title>Antibiotic Treatment of Yersinia enterocolitica Septicemia: A Retrospective Review of 43 Cases</title><author>Gayraud, Martine ; Scavizzi, Maurice R. ; Mollaret, Henri H. ; Guillevin, Loïc ; Hornstein, Michèle J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-bb0e2b9aa1264ac9e30cc17d3d84b10a23a6e8badc2686ce70393082b417f6c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aminoglycosides</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibacterial agents</topic><topic>Antibiotics</topic><topic>Antibiotics. Antiinfectious agents. Antiparasitic agents</topic><topic>Bacteremia - drug therapy</topic><topic>Biological and medical sciences</topic><topic>Blood</topic><topic>Cephalosporins</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical Infectious Disease Articles</topic><topic>Female</topic><topic>Fluoroquinolones</topic><topic>Humans</topic><topic>Infections</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Pharmacology. Drug treatments</topic><topic>Retrospective Studies</topic><topic>Sepsis</topic><topic>Yersinia</topic><topic>Yersinia enterocolitica</topic><topic>Yersinia enterocolitica - drug effects</topic><topic>Yersinia enterocolitica - isolation & purification</topic><topic>Yersinia Infections - drug therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gayraud, Martine</creatorcontrib><creatorcontrib>Scavizzi, Maurice R.</creatorcontrib><creatorcontrib>Mollaret, Henri H.</creatorcontrib><creatorcontrib>Guillevin, Loïc</creatorcontrib><creatorcontrib>Hornstein, Michèle J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gayraud, Martine</au><au>Scavizzi, Maurice R.</au><au>Mollaret, Henri H.</au><au>Guillevin, Loïc</au><au>Hornstein, Michèle J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Antibiotic Treatment of Yersinia enterocolitica Septicemia: A Retrospective Review of 43 Cases</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clinical Infectious Diseases</addtitle><date>1993-09-01</date><risdate>1993</risdate><volume>17</volume><issue>3</issue><spage>405</spage><epage>410</epage><pages>405-410</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>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 β-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.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>8218681</pmid><doi>10.1093/clinids/17.3.405</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Aminoglycosides Anti-Bacterial Agents - therapeutic use Antibacterial agents Antibiotics Antibiotics. Antiinfectious agents. Antiparasitic agents Bacteremia - drug therapy Biological and medical sciences Blood Cephalosporins Child Child, Preschool Clinical Infectious Disease Articles Female Fluoroquinolones Humans Infections Male Medical sciences Middle Aged Mortality Pharmacology. Drug treatments Retrospective Studies Sepsis Yersinia Yersinia enterocolitica Yersinia enterocolitica - drug effects Yersinia enterocolitica - isolation & purification Yersinia Infections - drug therapy |
| title | Antibiotic Treatment of Yersinia enterocolitica Septicemia: A Retrospective Review of 43 Cases |
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