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Escherichia coli early-onset sepsis: trends over two decades
Escherichia coli early-onset sepsis (EOS) is an important cause of mortality and morbidity in neonates, especially in preterm and very low birth weight (VLBW) newborns. The aim of our study was to evaluate potential changes in the clinical and microbiological characteristics of E. coli EOS in our se...
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Published in: | European journal of pediatrics 2017-09, Vol.176 (9), p.1227-1234 |
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Main Authors: | , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Escherichia coli
early-onset sepsis (EOS) is an important cause of mortality and morbidity in neonates, especially in preterm and very low birth weight (VLBW) newborns. The aim of our study was to evaluate potential changes in the clinical and microbiological characteristics of
E. coli
EOS in our setting. Epidemiological, clinical, and microbiological data from all neonates with proven
E. coli
EOS from January 1994 to December 2014 were retrospectively collected in a single tertiary care hospital in Barcelona (Spain). Seventy-eight
E. coli
EOS cases were analyzed. A slight increase in the incidence of
E. coli
EOS was observed during the study period. VLBW newborns remained the group with higher incidence (10.4 cases per 1000 live births) and mortality (35.3%). Systematic use of PCR increased
E. coli
EOS diagnosis, mainly in the term newborn group. There was an increase in resistant
E. coli
strains causing EOS, with especially high resistance to ampicillin and gentamicin (92.8 and 28.6%, respectively). Nonetheless, resistant strains were not associated with poorer clinical outcomes.
Conclusions
: There is an urgent need to reconsider the empirical therapy used in neonatal EOS, particularly in VLBW newborns.
What is Known:
•
E. coli
early-onset sepsis (EOS) and
E. coli
resistant strains have been described as overall stable but increasing in VLBW neonates ( |
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ISSN: | 0340-6199 1432-1076 |
DOI: | 10.1007/s00431-017-2975-z |