International Journal of Infectious Diseases
Volume 11, Issue 2 , Pages 145-151 , March 2007

Bacteremia in children at a regional hospital in Trinidad

  • Fitzroy A. Orrett

      Affiliations

    • Department of Paraclinical Sciences, Faculty of Medical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago, West Indies
    • Corresponding Author InformationCorresponding author. Mailing address: PO Box 371, Curepe Post Office, Curepe, Trinidad and Tobago, West Indies. Tel.: +868 645 2640 9; fax: +868 663 3797.
  • ,
  • Evangeline Changoor

      Affiliations

    • Infection Control Department, San Fernando General Hospital, San Fernando, Trinidad and Tobago, West Indies

Received 10 January 2005 ,Revised 18 November 2005 ,Accepted 6 December 2005.

References 

  1. Berkley JA, Lowe BS, Mwangi I, Williams T, Bauni E, Mwarumba S, et al. Bacteremia among children admitted to a rural hospital in Kenya. N Engl J Med. 2005;352:39–47
  2. Silverstein M, Bachur R, Harper MB. Clinical implications of penicillin and ceftriaxone resistance among children with pneumococcal bacteremia. Pediatr Infect Dis J. 1999;18:35–41
  3. Walsh AL, Phiri AJ, Graham SM, Molyneux EM, Molyneux ME. Bacteremia in febrile Malawian children: clinical and microbiological features. Pediatr Infect Dis. 2000;19:312–318
  4. Jones ME, Karlowsky JA, Draghi DC, Thornsberry C, Sahm DF, Bradley JS. Rates of antimicrobial resistance among common bacterial pathogens causing respiratory, blood, urine and soft tissue infections in pediatric patients. Eur J Clin Microbiol Infect Dis. 2004;23:445–455
  5. Shwe TN, Nyein MM, Yi W, Mon A. Blood culture isolates from children admitted to Medical Unit III, Yangon Children's Hospital. Southeast Asian J Trop Med Public Health. 2002;33:764–771
  6. Berkley JA, Ross A, Mwangi I, Osier FH, Mohammed M, Shebbe M, et al. Prognostic indicators of early and late death in children admitted to district hospital in Kenya: cohort study. BMJ. 2003;326:361–365
  7. Siu LK, Lu PH, Hseuh PR, Lin FM, Chang SC, Luh KT, et al. Bacteremia due to extended-spectrum β-lactamase-producing Escherichia coli and Klebsiella pneumoniae in a pediatric oncology ward: clinical features and identification of differential plasmids carrying the SHV-5 and TEM-1 genes. J Clin Microbiol. 1999;37:4020–4027
  8. Winchester D, Todd JK, Roe MH. Bacteremia in hospitalized children. Am J Dis Child. 1977;131:753–758
  9. Fosi-Mbantenkhu J, Orrett FA. Predisposition to Corynebacterium jeikeium infection in acute lymphoblastic leukemia: a report of two cases in Trinidad. Med Pediatr Oncology. 1994;22:350–354
  10. Read RP, Wegerhoff FO, Rothberg AD. Bacteremia in malnourished African children. Ann Trop Paediatr. 1996;16:61–68
  11. Morrow SE, Smith DL, Cairns BA, Howell PD, Nakayama DK, Peterson HD. Etiology and outcome of pediatric burns. J Pediatr Surg. 1996;31:329–333
  12. Wolf SE, Rose JK, Desai MH, Mileski JP, Barrow RE, Herdon DN. Mortality determinants in massive pediatric burns: an analysis of 103 children with > or=80% TBSA burns (> or=70% full-thickness). Ann Surg. 1997;225:554–565
  13. Orrett FA, Shurland SM. Neonatal sepsis and mortality in a regional hospital in Trinidad: aetiology and risk factors. Ann Trop Paediatr. 2001;21:20–25
  14. Cotton MF, Burger PJ, Bodenstein WJM. Bacteremia in children in the South-western Cape. S Afr Med J. 1992;81:87–90
  15. Bone RC, Sprung CL, Sibbald WJ. Definitions for sepsis and organ failure. Crit Care Med. 1992;20:724–726
  16. National Committee for Clinical Laboratory Standards. Performance standards for antimicrobial susceptibility tests. Approved standards. 7th ed. Vol. 20(1). Wayne, PA, USA: NCCLS M2-A7; 2000.
  17. National Committee for Clinical Laboratory Standards. Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically. Approved standards. Wayne, PA, USA: NCCLS M7-A5; 2001.
  18. Daley LE, Burke GJ, McGilvray J. Interpretation and uses of medical statistics. 4th ed.. London: Blackwell Scientific Publications; 1991;p. 1–427
  19. Orrett FA. Pneumococcal infections in Trinidad: patterns of antimicrobial susceptibility: 1994–2002. Jpn J Infect Dis. 2005;58:20–24
  20. Douglas MW, Lum G, Roy J, Fisher DA, Anstay NM, Currie BJ. Epidemiology of community-acquired and nosocomial bloodstream infections in tropical Australia: a 12-month prospective study. Trop Med Int Health. 2004;9:795–804
  21. Sharma M, Goel N, Chaudhery U, Aggarwal R, Arora DR. Bacteremia in children. Indian J Pediatr. 2002;69:1029–1032
  22. Ghiorghis B, Geyid A, Haile M. Bacteremia in febrile outpatient children. East Afr Med J. 1992;69:74–77
  23. Xu Y, Shao J. Changes of pathogenic bacteria in pediatric patients of septicemia and drug resistance thereof in Zhejiang Children's Hospital 1991 approximately. Zhonghua Yi Xue Za Zhi. 2002;82:945–948
  24. Orrett FA, Olagundoye V. Prevalence of group B streptococci colonization in pregnant third trimester women in Trinidad. J Hosp Infect. 1994;27:43–48
  25. Orrett FA. Colonization with group B streptococci in pregnancy and outcome of infected neonates in Trinidad. Pediatr Int. 2003;45:319–323
  26. Orrett FA. Fatal multi-resistant Pseudomonas aeruginosa septicaemia outbreak in a neonatal intensive care unit in Trinidad. Ethiop Med J. 2000;38:85–91
  27. Orrett FA, Brooks PJ, Richardson EG. Nosocomial infections in a rural regional hospital in a developing country: infection rates by site, service, cost, and infection control practices. Infect Control Hosp Epidemiol. 1998;19:136–140
  28. Reuben AG, Musher DM, Hamill RJ, Breuche I. Polymicrobic bacteremia: clinical and microbiologic patterns. Rev Infect Dis. 1989;11:161–183
  29. Adesiyun AA, Prabhakar P, Ali C, Lewis M. Characteristics of Staphylococcus aureus strains isolated from clinical and non-clinical sources in Trinidad: susceptibility to bacteriophages and antimicrobial agents, and toxigenicity. Zentralbl Bakteriol. 1995;282:519–532
  30. Orrett FA. Methicillin resistance among Trinidadian isolates of community and hospital strains of Staphylococcus aureus and their patterns of resistance to non-β-lactam antibiotics. Jpn J Infect Dis. 1999;52:238–241
  31. Erkmen O, Balci I, Gungor S. Staphylococci infections in a hospital. Turk J Med Sci. 1996;26:367–370
  32. Kim BH, Jang HC, Nam HJ, Lee YS, Kim BS, Park WB, et al. In vitro activities of 28 antimicrobial agents against Staphylococcus aureus isolates from tertiary-care hospitals in Korea: a nationwide survey. Antimicrob Agents Chemother. 2004;48:1124–1127
  33. Panlilo AL, Culver DH, Gaynes RP, Banerjee S, Henderson TS, Tolson JS, et al. Methicillin-resistant Staphylococcus aureus in US hospitals, 1975–1991. Infect Control Hosp Epidemiol. 1992;13:582–586
  34. Nath SK, Shea B, Jackson S, Rotstein C. Ribotyping of nosocomial methicillin-resistant Staphylococcus aureus isolates from a Canadian hospital. Infect Control Hosp Epidemiol. 1995;16:717–724
  35. Araj GF, Uwaydah MM, Alami SY. Antimicrobial susceptibility patterns of bacterial isolates at the American University Medical Center in Lebanon. Diagn Microbiol Infect Dis. 1994;20:151–158
  36. Bukharie HA, Abdelhadi MS. The epidemiology of methicillin-resistant Staphylococcus aureus at a Saudi University Hospital. Microbiol Drug Resist. 2001;7:413–416
  37. Orrett FA. Antimicrobial prescribing patterns at a rural hospital in Trinidad: evidence for intervention measures. Afr J Med Sci. 2001;30:161–164

PII: S1201-9712(06)00061-0

doi: 10.1016/j.ijid.2005.12.005

International Journal of Infectious Diseases
Volume 11, Issue 2 , Pages 145-151 , March 2007