Early-onset septicemia due to CMY-2-producing Escherichia coli in a woman with blunt abdominal trauma

Khee Siang Chan, Wen Liang Yu, Chen Y. Kuo, Chi L. Tsai, Yin Ching Chuang

研究成果: 雜誌貢獻文章

摘要

Escherichia coli remains one of the most common etiologies of secondary peritonitis. CMY-2 is the most prevalent AmpC enzyme identified in nosocomial E. coli isolates causing bacteremia in Taiwan. This report is of a patient who underwent surgery for intestinal perforations due to blunt abdominal trauma and developed unexpected CMY-2-producing E. coli septicemia in the early postoperative period. The AmpC-type CMY-2 enzyme night partially contribute to the poor response to antimicrobial therapy of amoxicillin-clavulanic acid or flornoxef. Late changes in antibiotic therapy to an appropriate regimen of cefpirome based on the culture results did not result in a positive outcome and the patient died. Whether selection of an anti-AmpC regimen is appropriate as first-line treatment for traumatic abdomen-associated septicemia should be an area of further investigation in Taiwan.

原文英語
頁(從 - 到)442-444
頁數3
期刊Journal of Microbiology, Immunology and Infection
42
發行號5
出版狀態已發佈 - 十月 2009

指紋

Sepsis
cefpirome
Escherichia coli
Taiwan
Wounds and Injuries
Intestinal Perforation
Amoxicillin-Potassium Clavulanate Combination
Enzymes
Bacteremia
Peritonitis
Postoperative Period
Abdomen
Therapeutics
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Immunology and Microbiology(all)
  • Immunology and Allergy
  • Infectious Diseases
  • Microbiology (medical)

引用此文

Early-onset septicemia due to CMY-2-producing Escherichia coli in a woman with blunt abdominal trauma. / Chan, Khee Siang; Yu, Wen Liang; Kuo, Chen Y.; Tsai, Chi L.; Chuang, Yin Ching.

於: Journal of Microbiology, Immunology and Infection, 卷 42, 編號 5, 10.2009, p. 442-444.

研究成果: 雜誌貢獻文章

Chan, Khee Siang ; Yu, Wen Liang ; Kuo, Chen Y. ; Tsai, Chi L. ; Chuang, Yin Ching. / Early-onset septicemia due to CMY-2-producing Escherichia coli in a woman with blunt abdominal trauma. 於: Journal of Microbiology, Immunology and Infection. 2009 ; 卷 42, 編號 5. 頁 442-444.
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