CTX-M-9 group ESBL-producing Raoultella planticola nosocomial infection: first report from sub-Saharan Africa.
Adolescent
Africa South of the Sahara
Anti-Bacterial Agents
/ therapeutic use
Ceftazidime
/ therapeutic use
Cross Infection
/ drug therapy
Drug Resistance, Multiple, Bacterial
Enterobacteriaceae
/ isolation & purification
Enterobacteriaceae Infections
/ diagnosis
Female
Humans
Laparotomy
/ adverse effects
Pregnancy
Surgical Wound Infection
/ drug therapy
beta-Lactamases
/ genetics
Africa
Antimicrobial resistance
CTX-M-9 group
ESBL
Ethiopia
Extended spectrum β-lactamases
Nosocomial infection
Raoultella planticola
Journal
Annals of clinical microbiology and antimicrobials
ISSN: 1476-0711
Titre abrégé: Ann Clin Microbiol Antimicrob
Pays: England
ID NLM: 101152152
Informations de publication
Date de publication:
17 Aug 2020
17 Aug 2020
Historique:
received:
19
09
2019
accepted:
11
08
2020
entrez:
19
8
2020
pubmed:
19
8
2020
medline:
29
1
2021
Statut:
epublish
Résumé
Raoultella are Gram-negative rod-shaped aerobic bacteria which grow in water and soil. They mostly cause nosocomial infections associated with surgical procedures. This case study is the first report of a Raoultella infection in Africa. Case presentation We report a case of a surgical site infection (SSI) caused by Raoultella planticola which developed after caesarean section (CS) and surgery for secondary small bowel obstruction. The patient became febrile with neutrophilia (19,157/µL) 4 days after laparotomy and started to develop clinical signs of a SSI on the 8 Raoultella planticola was isolated from an infected surgical site after repeated abdominal surgery. Due to the infection the patient's stay in the hospital was prolonged for a total of 4 weeks. It is noted that patients undergoing surgical and prolonged inpatient treatment are at risk for infections caused by Raoultella. The development of a SSI caused by Raoultella planticola with extended AMR has to be assumed to be a consequence of ineffective antibiotic utilization. The presented case advices that rare bacteria as Raoultella should be considered as potential cause of nosocomial SSI with challenging treatment due to high levels of AMR.
Sections du résumé
BACKGROUND
BACKGROUND
Raoultella are Gram-negative rod-shaped aerobic bacteria which grow in water and soil. They mostly cause nosocomial infections associated with surgical procedures. This case study is the first report of a Raoultella infection in Africa. Case presentation We report a case of a surgical site infection (SSI) caused by Raoultella planticola which developed after caesarean section (CS) and surgery for secondary small bowel obstruction. The patient became febrile with neutrophilia (19,157/µL) 4 days after laparotomy and started to develop clinical signs of a SSI on the 8
CONCLUSIONS
CONCLUSIONS
Raoultella planticola was isolated from an infected surgical site after repeated abdominal surgery. Due to the infection the patient's stay in the hospital was prolonged for a total of 4 weeks. It is noted that patients undergoing surgical and prolonged inpatient treatment are at risk for infections caused by Raoultella. The development of a SSI caused by Raoultella planticola with extended AMR has to be assumed to be a consequence of ineffective antibiotic utilization. The presented case advices that rare bacteria as Raoultella should be considered as potential cause of nosocomial SSI with challenging treatment due to high levels of AMR.
Identifiants
pubmed: 32807201
doi: 10.1186/s12941-020-00380-0
pii: 10.1186/s12941-020-00380-0
pmc: PMC7430002
doi:
Substances chimiques
Anti-Bacterial Agents
0
Ceftazidime
9M416Z9QNR
beta-Lactamases
EC 3.5.2.6
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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