Del Valle de Toro Antonio, Santos-Pérez Juan Luis, Navarro-Marí José María, Gutiérrez-Fernández José
Servicio de Pediatría, Hospital Universitario Virgen de las Nieves, Granada, España.
Servicio de Microbiología, Hospital Universitario Virgen de las Nieves, Granada, España.
Rev Argent Microbiol. 2020 Jan-Mar;52(1):22-26. doi: 10.1016/j.ram.2019.03.003. Epub 2019 Jun 24.
The aim of our study was to describe the epidemiological features of pediatric patients with diarrhea caused by Aeromonas spp. and to study the antibiotic susceptibility of this agent during a seven-year period. Aeromonas caviae was identified in 93 stool samples from 52.2% males and 85.6% patients younger than 36 months. The season with the lowest number of isolates was winter (14.4%). Co-infection with other diarrheagenic microorganisms was observed in 31.1% of the cases. The largest number of isolates was obtained from Emergency Department samples (45.6%); 43.3% of the patients presented with fever, 87.8% with diarrhea (43% of these cases were associated with pathological products) and 67.8% with vomiting, while 73.3% of the patients did not require hospital admission. Susceptibility higher than 87% was observed to trimethoprim-sulfamethoxazole, ciprofloxacin, cefotaxime and cefepime. All the patients overcame the infectious process and 63.3% of them did not receive any antibiotic treatment during the process. A. caviae was the isolated species associated with intestinal infection. Antibiotic treatment would be specifically indicated in cases selected for their clinical severity.
我们研究的目的是描述由气单胞菌属引起腹泻的儿科患者的流行病学特征,并研究该病原体在七年期间的抗生素敏感性。在93份粪便样本中鉴定出气单胞菌,其中男性占52.2%,36个月以下患者占85.6%。分离株数量最少的季节是冬季(14.4%)。31.1%的病例观察到与其他致腹泻微生物的合并感染。分离株数量最多的样本来自急诊科(45.6%);43.3%的患者出现发热,87.8%的患者出现腹泻(其中43%的病例伴有病理性产物),67.8%的患者出现呕吐,而73.3%的患者无需住院治疗。对甲氧苄啶-磺胺甲恶唑、环丙沙星、头孢噻肟和头孢吡肟的敏感性高于87%。所有患者均战胜了感染过程,其中63.3%的患者在此过程中未接受任何抗生素治疗。豚鼠气单胞菌是与肠道感染相关的分离菌种。对于因临床严重程度而选定的病例,应特别指明使用抗生素治疗。