Tena Daniel, Aspiroz Carmen, Figueras Maria Jose, Gonzalez-Praetorius Alejandro, Aldea Maria Jose, Alperi Anabel, Bisquert Julia
Seccion de Microbiologia, Hospital Universitario de Guadalajara, Guadalajara.
Scand J Infect Dis. 2009;41(3):164-70. doi: 10.1080/00365540802660492.
Gastrointestinal and wound infections are the most common clinical presentation of Aeromonas. Surgical site infections (SSIs) due to this microorganism are rare. We studied the clinical and microbiological characteristics of 9 cases that appeared at 2 Spanish hospitals and reviewed 15 cases available in the literature. All patients (including our cases) had gastrointestinal or biliary diseases. 21 patients (91.3%) developed SSIs after abdominal or pelvic surgery. The mean duration from surgery to the onset of wound infection was 2.2 d in our 9 patients. The infection was polymicrobial in 17 patients (77.2%) and 19 cases were nosocomial (95%). Clinical outcome of all cases was uniformly good after treatment except for 2 patients. Two patients were cured only with surgical drainage. In conclusion, SSIs due to Aeromonas species have a probable endogenous source after abdominal or pelvic surgery and the onset is rapid in most cases. Clinical outcome is good after antibiotic treatment but surgical drainage without antibiotic therapy can be sufficient to clear the infection in some cases.
胃肠道和伤口感染是气单胞菌最常见的临床表现。由这种微生物引起的手术部位感染（SSI）很罕见。我们研究了西班牙两家医院出现的9例病例的临床和微生物学特征，并回顾了文献中15例可用病例。所有患者（包括我们的病例）都患有胃肠道或胆道疾病。21例患者（91.3%）在腹部或盆腔手术后发生了SSI。我们的9例患者从手术到伤口感染发作的平均持续时间为2.2天。17例患者（77.2%）的感染为多微生物感染，19例为医院感染（95%）。除2例患者外，所有病例经治疗后的临床结局均良好。2例患者仅通过手术引流治愈。总之，腹部或盆腔手术后，气单胞菌属引起的SSI可能有内源性来源，且大多数病例发病迅速。抗生素治疗后临床结局良好，但在某些情况下，不使用抗生素的手术引流足以清除感染。
