Document Detail


Pseudomonas infections in children with human immunodeficiency virus infection.
MedLine Citation:
PMID:  1528645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirteen bacteremias and 25 nonbacteremic infections caused by Pseudomonas spp. occurred in 22 of 236 children with human immunodeficiency virus infection with a rate of infection of 0.098 (bacteremia, 0.030) per patient year. Four patients were neutropenic (less than 500/microliters). Central venous catheter (CVC)-related infections were most frequent (n = 20) followed by otitis externa (n = 6) and pneumonia (n = 5). Pseudomonas aeruginosa was the most common isolate and caused both CVC-related and CVC-unrelated infections, whereas other Pseudomonas spp. and Xanthomonas maltophilia were almost exclusively associated with CVC-related infections. The children who received appropriate therapy had a favorable outcome. In 7 CVC-related infections (35%) the catheter was removed. Pseudomonas spp. are of increasing importance in human immunodeficiency virus-infected children causing significant morbidity and increased hospitalization. These infections may be life-threatening if appropriate therapy is not vigorously initiated.
Authors:
E Roilides; K M Butler; R N Husson; B U Mueller; L L Lewis; P A Pizzo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Pediatric infectious disease journal     Volume:  11     ISSN:  0891-3668     ISO Abbreviation:  Pediatr. Infect. Dis. J.     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-10-22     Completed Date:  1992-10-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8701858     Medline TA:  Pediatr Infect Dis J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  547-53     Citation Subset:  IM; X    
Affiliation:
Infectious Diseases Section, National Cancer Institute, Bethesda, MD 20892.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Bacterial Infections / complications
Catheterization, Central Venous / adverse effects
Child
Child, Preschool
Cohort Studies
Female
HIV Infections / complications*
Humans
Infant
Male
Opportunistic Infections / complications*
Pseudomonas Infections / complications*,  drug therapy
Xanthomonas

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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