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Infectious Disease Reports
Volume 5
Issue 1
10.4081/idr.2013.e4
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Infectious Disease Reports is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Article

Pseudomonas aeruginosa bacteraemia in two UK district hospitals

by
David A. Enoch
1,
Julie Kuzhively
2,
Andrew Sismey
1,
Alina Grynik
3 and
Johannis Andreas Karas
3,4,*
1
Clinical Microbiology and Public Health Laboratory, Peterborough and Stamford Hospitals NHS Foundation Trust, Peterborough City Hospital, Bretton Gate, Peterborough, UK
2
Department of Medicine, Peterborough and Stamford Hospitals NHS Foundation Trust, Peterborough City Hospital, Bretton Gate, Peterborough, UK
3
Infection Control Department, Hinchingbrooke Hospital, Huntingdon, UK
4
Clinical Microbiology and Public Health Laboratory, Health Protection Agency, Addenbrookes Hospital, Cambridge, UK
*
Author to whom correspondence should be addressed.
Infect. Dis. Rep. 2013, 5(1), e4; https://doi.org/10.4081/idr.2013.e4
Submission received: 4 November 2011 / Revised: 2 April 2012 / Accepted: 4 April 2012 / Published: 11 September 2013

Abstract

Pseudomonas aeruginosa bacteraemia is associated with significant morbidity and mortality. We retrospectively studied the epidemiology of bacteraemia due to P. aeruginosa in two UK district hospitals so as to determine prevention strategies and assess the efficacy and compliance with local hospital antibiotic guidelines. Eighty six episodes occurred in 85 patients over the 3 year period. There was a year on year increase in bacteraemias, due predominantly to an increased proportion of community-onset episodes. Urinary catheterisation was a significant risk factor, along with anaemia, renal disease, malignancy and diabetes. The antibiotic guidelines were adequate for 92.8% of episodes but only 73.8% of patients received adequate therapy. Failure to follow the guidelines was principally due to unwillingness to use gentamicin due to concerns about nephrotoxicity. The antibiotic guidelines may need reviewing to accommodate this problem and further work is required to address urinary catheter care in both the hospital and community. Pseudomonas aeruginosa should be considered a significant pathogen when patients are admitted with features of sepsis.
Keywords: Pseudomonas aeruginosa; bacteraemia; community onset; adequacy of antibiotics Pseudomonas aeruginosa; bacteraemia; community onset; adequacy of antibiotics

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MDPI and ACS Style

Enoch, D.A.; Kuzhively, J.; Sismey, A.; Grynik, A.; Karas, J.A. Pseudomonas aeruginosa bacteraemia in two UK district hospitals. Infect. Dis. Rep. 2013, 5, e4. https://doi.org/10.4081/idr.2013.e4

AMA Style

Enoch DA, Kuzhively J, Sismey A, Grynik A, Karas JA. Pseudomonas aeruginosa bacteraemia in two UK district hospitals. Infectious Disease Reports. 2013; 5(1):e4. https://doi.org/10.4081/idr.2013.e4

Chicago/Turabian Style

Enoch, David A., Julie Kuzhively, Andrew Sismey, Alina Grynik, and Johannis Andreas Karas. 2013. "Pseudomonas aeruginosa bacteraemia in two UK district hospitals" Infectious Disease Reports 5, no. 1: e4. https://doi.org/10.4081/idr.2013.e4

APA Style

Enoch, D. A., Kuzhively, J., Sismey, A., Grynik, A., & Karas, J. A. (2013). Pseudomonas aeruginosa bacteraemia in two UK district hospitals. Infectious Disease Reports, 5(1), e4. https://doi.org/10.4081/idr.2013.e4

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