Catheter-related bloodstream infection caused by Enterococcus spp. |
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Authors: | E. Reigadas M. Rodríguez-Creixems M. Guembe C. Sanchez-Carrillo P. Martín-Rabadán E. Bouza |
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Affiliation: | 1. Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón;2. Department of Medicine, Universidad Complutense;3. Red Española de Investigación en Patología Infecciosa (REIPI), RD06/008/1025, Madrid, Spain |
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Abstract: | The role of Enterococcus spp. as a cause of catheter-related bloodstream infections (CR-BSI) is almost unexplored. We assessed the incidence and clinical characteristics of enterococcal CR-BSI (ECR-BSI) over an 8-year period in our hospital. We performed a retrospective study (January 2003 to December 2010) in a large teaching institution. We recorded the incidence, and the microbiological and clinical data from patients with ECR-BSI. The incidence per 10 000 admissions for enterococcal BSI and ECR-BSI was 25 and 1.7, respectively. ECR-BSI was the fourth leading cause of CR-BSI in our institution (6%). A total of 75 episodes of ECR-BSI were detected in 73 patients (6% of all enterococcal BSI). The incidence of ECR-BSI increased by 17% annually (95% CI 19.0–21.0%) during the study period. Nineteen percent of ECR-BSI episodes were polymicrobial. Overall mortality was 33%. ECR-BSI is an emerging and increasingly common entity with a high mortality. This finding should be taken into account when selecting empirical treatment for presumptive CR-BSI. |
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Keywords: | Bacteraemia catheter-related bloodstream infections |
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