[Escherichia coli meningitis during bacteremia in the Ibrahima-Diop-Mar infectious diseases clinic, Dakar Fann National Hospital Center (Senegal)]. / Méningites au cours des bactériémies à Escherichia coli à la clinique des maladies infectieuses Ibrahima-Diop-Mar du Centre hospitalier national de Fann à Dakar (Sénégal).
Med Mal Infect
; 35(6): 344-8, 2005 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-16039818
ABSTRACT
OBJECTIVES:
The aim of this study was to describe epidemiological, clinical, and bacteriological aspects of Escherichia coli bacteremia and meningitis in the Ibrahima-Diop-Mar infectious diseases clinic, Dakar Fann National Hospital Center (Senegal). MATERIALS ANDMETHODS:
Data was collected from the bacteriology laboratory and hospitalization files.RESULTS:
57 cases of E. coli bacteremia were reported. Among them, 10 were associated with meningitis. AIDS was diagnosed in 74% of the cases. The global lethality rate was 47% but this rate was higher in cases of associated meningitis (80 vs 37%) and in AIDS patients (50 vs 27%). Ceftriaxone, aztreonam, gentamicin, and ciprofloxacin were active on more than 95% of strains but cotrimoxazole was active on only 49% of the strains. Resistance to cotrimoxazole was higher among E. coli strains isolated from AIDS patients (62 vs 13%).CONCLUSION:
The low susceptibility to cotrimoxazole might increase the incidence of E. coli infections among patients with AIDS. It is therefore important to find an alternative to cotrimoxazole chemoprophylaxis.
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Base de dados:
MEDLINE
Assunto principal:
Meningites Bacterianas
/
Bacteriemia
/
Infecções por Escherichia coli
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Aged80
País/Região como assunto:
Africa
Idioma:
Fr
Revista:
Med Mal Infect
Ano de publicação:
2005
Tipo de documento:
Article