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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2011-4-18
pubmed:abstractText
We studied twenty patients with Leuconostoc spp. bacteraemia at a tertiary hospital in northern Taiwan between 1995 and 2008. All isolates were identified to species level using conventional and commercial automated methods in conjunction with 16S rRNA sequencing analysis. Leuconostoc lactis (15/20, 75%) constituted the most common species but required molecular methods for accurate identification. Minimum inhibitory concentrations (MICs) of 10 antimicrobial agents were determined using the broth microdilution method. Among these 20 patients, 19 had healthcare-associated Leuconostoc spp. bacteraemia and 11 patients (55%) had underlying malignancies. Eleven had been hospitalised for more than 30 days (median: 32.5 days; range: 0-252 days) before the bacteraemic episode. At the time of bacteraemia, 11 had a Pitt bacteraemia score of ? 4 (median: 4; range: 0-7) and 12 had a modified Acute Physiological Assessment and Chronic Health Evaluation (APACHE II) score of ? 20 (median: 22; range: 5-37). Azithromycin (MIC: 0.12 ?g/mL), moxifloxacin (MIC: 0.25-0.5 ?g/mL), daptomycin (MIC: 0.03-0.25 ?g/mL) and tigecycline (MIC: 0.06-0.12 ?g/mL) exhibited good in vitro activity against Leuconostoc spp. although bacteraemia due to L. lactis was associated with high mortality in immunocompromised patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1532-2939
pubmed:author
pubmed:copyrightInfo
Copyright © 2010 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
pubmed:issnType
Electronic
pubmed:volume
78
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
45-9
pubmed:meshHeading
pubmed-meshheading:21269734-Adolescent, pubmed-meshheading:21269734-Adult, pubmed-meshheading:21269734-Aged, pubmed-meshheading:21269734-Aged, 80 and over, pubmed-meshheading:21269734-Anti-Bacterial Agents, pubmed-meshheading:21269734-Bacteremia, pubmed-meshheading:21269734-Bacteriological Techniques, pubmed-meshheading:21269734-Child, pubmed-meshheading:21269734-Cross Infection, pubmed-meshheading:21269734-Female, pubmed-meshheading:21269734-Gram-Positive Bacterial Infections, pubmed-meshheading:21269734-Hospitals, University, pubmed-meshheading:21269734-Humans, pubmed-meshheading:21269734-Leuconostoc, pubmed-meshheading:21269734-Male, pubmed-meshheading:21269734-Microbial Sensitivity Tests, pubmed-meshheading:21269734-Middle Aged, pubmed-meshheading:21269734-Molecular Diagnostic Techniques, pubmed-meshheading:21269734-Risk Factors, pubmed-meshheading:21269734-Taiwan, pubmed-meshheading:21269734-Young Adult
pubmed:year
2011
pubmed:articleTitle
Healthcare-associated bacteraemia caused by Leuconostoc species at a university hospital in Taiwan between 1995 and 2008.
pubmed:affiliation
Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
pubmed:publicationType
Journal Article