Bacteremia caused by Brevundimonas species at a tertiary care hospital in Taiwan, 2000–2010

We investigated clinical and microbiological characteristics of 30 patients with Brevundimonas bacteremia treated at a tertiary care hospital in Taiwan during 2000–2010. All the 30 bacteria isolates were confirmed to the species level by 16S rRNA sequencing analysis. Minimum inhibitory concentration...

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Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2011-10, Vol.30 (10), p.1185-1191
Hauptverfasser: Lee, M. R., Huang, Y. T., Liao, C. H., Chuang, T. Y., Lin, C. K., Lee, S. W., Lai, C. C., Yu, C. J., Hsueh, P. R.
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container_title European journal of clinical microbiology & infectious diseases
container_volume 30
creator Lee, M. R.
Huang, Y. T.
Liao, C. H.
Chuang, T. Y.
Lin, C. K.
Lee, S. W.
Lai, C. C.
Yu, C. J.
Hsueh, P. R.
description We investigated clinical and microbiological characteristics of 30 patients with Brevundimonas bacteremia treated at a tertiary care hospital in Taiwan during 2000–2010. All the 30 bacteria isolates were confirmed to the species level by 16S rRNA sequencing analysis. Minimum inhibitory concentrations (MICs) of 11 antimicrobial agents against these isolates were determined by the agar dilution method. Seventeen (57%) patients had underlying malignancy, 12 (40%) had undergone central catheter placement, and 13 (43%) had received chemotherapy within the previous three months. Eight (27%) patients had community-acquired bacteremia and the remaining 22 patients (73%) had healthcare-associated bacteremia. The overall 14-day and 30-day mortality rates were 13% and 17%, respectively. Among the 30 isolates, B. vesicularis constituted most commonly ( n  = 22, 63%), followed by B. nasdae ( n  = 5) and B. diminuta ( n  = 3). All isolates were susceptible to piperacillin-tazobactam and amikacin, while all were resistant to ciprofloxacin and colistin. Tigecycline (MICs at which 90% of isolates are inhibited [MIC 90 ] was 0.12 mg/L) and doripenem (MIC 90 of 1 mg/L) both possessed good in vitro activities. In conclusions, Brevundimonas should be considered a pathogen that can cause bacteremia in immunocompromised hosts. Piperacillin-tazobactam, amikacin, doripenem, and tigecycline exhibit good in vitro activities against these ciprofloxacin- and colistin-resistant Brevundimonas species.
doi_str_mv 10.1007/s10096-011-1210-5
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R. ; Huang, Y. T. ; Liao, C. H. ; Chuang, T. Y. ; Lin, C. K. ; Lee, S. W. ; Lai, C. C. ; Yu, C. J. ; Hsueh, P. R.</creator><creatorcontrib>Lee, M. R. ; Huang, Y. T. ; Liao, C. H. ; Chuang, T. Y. ; Lin, C. K. ; Lee, S. W. ; Lai, C. C. ; Yu, C. J. ; Hsueh, P. R.</creatorcontrib><description>We investigated clinical and microbiological characteristics of 30 patients with Brevundimonas bacteremia treated at a tertiary care hospital in Taiwan during 2000–2010. All the 30 bacteria isolates were confirmed to the species level by 16S rRNA sequencing analysis. Minimum inhibitory concentrations (MICs) of 11 antimicrobial agents against these isolates were determined by the agar dilution method. Seventeen (57%) patients had underlying malignancy, 12 (40%) had undergone central catheter placement, and 13 (43%) had received chemotherapy within the previous three months. Eight (27%) patients had community-acquired bacteremia and the remaining 22 patients (73%) had healthcare-associated bacteremia. The overall 14-day and 30-day mortality rates were 13% and 17%, respectively. Among the 30 isolates, B. vesicularis constituted most commonly ( n  = 22, 63%), followed by B. nasdae ( n  = 5) and B. diminuta ( n  = 3). All isolates were susceptible to piperacillin-tazobactam and amikacin, while all were resistant to ciprofloxacin and colistin. Tigecycline (MICs at which 90% of isolates are inhibited [MIC 90 ] was 0.12 mg/L) and doripenem (MIC 90 of 1 mg/L) both possessed good in vitro activities. In conclusions, Brevundimonas should be considered a pathogen that can cause bacteremia in immunocompromised hosts. 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R.</creatorcontrib><creatorcontrib>Huang, Y. T.</creatorcontrib><creatorcontrib>Liao, C. H.</creatorcontrib><creatorcontrib>Chuang, T. Y.</creatorcontrib><creatorcontrib>Lin, C. K.</creatorcontrib><creatorcontrib>Lee, S. W.</creatorcontrib><creatorcontrib>Lai, C. C.</creatorcontrib><creatorcontrib>Yu, C. J.</creatorcontrib><creatorcontrib>Hsueh, P. R.</creatorcontrib><title>Bacteremia caused by Brevundimonas species at a tertiary care hospital in Taiwan, 2000–2010</title><title>European journal of clinical microbiology &amp; infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>We investigated clinical and microbiological characteristics of 30 patients with Brevundimonas bacteremia treated at a tertiary care hospital in Taiwan during 2000–2010. All the 30 bacteria isolates were confirmed to the species level by 16S rRNA sequencing analysis. Minimum inhibitory concentrations (MICs) of 11 antimicrobial agents against these isolates were determined by the agar dilution method. Seventeen (57%) patients had underlying malignancy, 12 (40%) had undergone central catheter placement, and 13 (43%) had received chemotherapy within the previous three months. Eight (27%) patients had community-acquired bacteremia and the remaining 22 patients (73%) had healthcare-associated bacteremia. The overall 14-day and 30-day mortality rates were 13% and 17%, respectively. Among the 30 isolates, B. vesicularis constituted most commonly ( n  = 22, 63%), followed by B. nasdae ( n  = 5) and B. diminuta ( n  = 3). All isolates were susceptible to piperacillin-tazobactam and amikacin, while all were resistant to ciprofloxacin and colistin. Tigecycline (MICs at which 90% of isolates are inhibited [MIC 90 ] was 0.12 mg/L) and doripenem (MIC 90 of 1 mg/L) both possessed good in vitro activities. In conclusions, Brevundimonas should be considered a pathogen that can cause bacteremia in immunocompromised hosts. 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R. ; Huang, Y. T. ; Liao, C. H. ; Chuang, T. Y. ; Lin, C. K. ; Lee, S. W. ; Lai, C. C. ; Yu, C. J. ; Hsueh, P. 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R.</au><au>Huang, Y. T.</au><au>Liao, C. H.</au><au>Chuang, T. Y.</au><au>Lin, C. K.</au><au>Lee, S. W.</au><au>Lai, C. C.</au><au>Yu, C. J.</au><au>Hsueh, P. R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bacteremia caused by Brevundimonas species at a tertiary care hospital in Taiwan, 2000–2010</atitle><jtitle>European journal of clinical microbiology &amp; infectious diseases</jtitle><stitle>Eur J Clin Microbiol Infect Dis</stitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><date>2011-10-01</date><risdate>2011</risdate><volume>30</volume><issue>10</issue><spage>1185</spage><epage>1191</epage><pages>1185-1191</pages><issn>0934-9723</issn><eissn>1435-4373</eissn><abstract>We investigated clinical and microbiological characteristics of 30 patients with Brevundimonas bacteremia treated at a tertiary care hospital in Taiwan during 2000–2010. All the 30 bacteria isolates were confirmed to the species level by 16S rRNA sequencing analysis. Minimum inhibitory concentrations (MICs) of 11 antimicrobial agents against these isolates were determined by the agar dilution method. Seventeen (57%) patients had underlying malignancy, 12 (40%) had undergone central catheter placement, and 13 (43%) had received chemotherapy within the previous three months. Eight (27%) patients had community-acquired bacteremia and the remaining 22 patients (73%) had healthcare-associated bacteremia. The overall 14-day and 30-day mortality rates were 13% and 17%, respectively. Among the 30 isolates, B. vesicularis constituted most commonly ( n  = 22, 63%), followed by B. nasdae ( n  = 5) and B. diminuta ( n  = 3). All isolates were susceptible to piperacillin-tazobactam and amikacin, while all were resistant to ciprofloxacin and colistin. Tigecycline (MICs at which 90% of isolates are inhibited [MIC 90 ] was 0.12 mg/L) and doripenem (MIC 90 of 1 mg/L) both possessed good in vitro activities. In conclusions, Brevundimonas should be considered a pathogen that can cause bacteremia in immunocompromised hosts. Piperacillin-tazobactam, amikacin, doripenem, and tigecycline exhibit good in vitro activities against these ciprofloxacin- and colistin-resistant Brevundimonas species.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21461849</pmid><doi>10.1007/s10096-011-1210-5</doi><tpages>7</tpages></addata></record>
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1435-4373
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source MEDLINE; Springer Journals
subjects Adolescent
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents - pharmacology
Antimicrobial agents
Automation
Bacteremia - epidemiology
Bacteremia - microbiology
Bacteremia - mortality
Bacteremia - pathology
Bacterial diseases
Bacterial sepsis
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Caulobacteraceae - genetics
Caulobacteraceae - isolation & purification
Chemotherapy
Child
Child, Preschool
Community-Acquired Infections - epidemiology
Community-Acquired Infections - microbiology
Community-Acquired Infections - mortality
Community-Acquired Infections - pathology
Cross Infection - epidemiology
Cross Infection - microbiology
Cross Infection - mortality
Cross Infection - pathology
DNA, Bacterial - chemistry
DNA, Bacterial - genetics
DNA, Ribosomal - chemistry
DNA, Ribosomal - genetics
Female
Gram-Negative Bacterial Infections - epidemiology
Gram-Negative Bacterial Infections - microbiology
Gram-Negative Bacterial Infections - mortality
Gram-Negative Bacterial Infections - pathology
Hospitals
Human bacterial diseases
Humans
Identification
Infant
Infectious diseases
Internal Medicine
Laboratories
Male
Medical instruments
Medical Microbiology
Medical sciences
Medicine
Methods
Microbial Sensitivity Tests
Microbiology
Middle Aged
Mortality
RNA, Ribosomal, 16S - genetics
Sequence Analysis, DNA
Survival Analysis
Taiwan - epidemiology
Young Adult
title Bacteremia caused by Brevundimonas species at a tertiary care hospital in Taiwan, 2000–2010
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