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. 2016 Dec 12;48(4):274–284. doi: 10.3947/ic.2016.48.4.274

Table 2. Clinical presentation, laboratory findings, and antimicrobial susceptibility in Aeromonas hydrophila, Aeromonas caviae, Aeromonas sobria, Aeromonas veronii, and Aeromonas salmonicida bacteremia.

Variables Aeromonas hydrophila (n = 198) Aeromonas caviae (n = 102) Aeromonas sobria (n = 20) Aeromonas veronii (n = 10) Aeromonas salmonicida (n = 6) P-value
Age (mean) 56.5 53.8 54.25 53.3 69.3 0.605
Sex (Male:Female) 126:72 82:20 16:4 8:2 4:2 0.032
Pitt bacteremia score (mean) 1.98 1.12 0.80 2.60 4.67 < 0.001
Charlson weighted comorbidity index (mean) 4.39 4.02 6.40 5.00 2.00 < 0.001
Hospital stay (day, mean) 35.90 19.45 8.60 12.20 39.67 0.004
Hospital-acquired bacteremia 44 (22.2%) 42 (41.2%) 2 (10.0%) 2 (20.0%) 4 (66.7%) < 0.001
Mortality 34 (17.2%) 12 (11.8%) 0 (0%) 2 (20.0%) 2 (33.3%) 0.140
Source of infection < 0.001
 Hepatobiliary infections 90 (45.5%) 62 (60.8%) 10 (50.0%) 6 (60.0%) 2 (33.3%) 0.116
 Peritonitis 50 (25.3%) 8 (7.8%) 2 (10.0%) 2 (20.0%) 0 (0%) 0.003
 Primary bacteremia 30 (15.2%) 22 (21.6%) 8 (40.0%) 0 (0%) 0 (0%) 0.017
 Pneumonia 12 (6.1%) 4 (3.9%) 0 (0%) 0 (0%) 4 (66.7%) < 0.001
 Skin and soft-tissue infections 12 (6.1%) 0 (0%) 0 (0%) 2 (20.0%) 0 (0%) 0.009
Underlying diseases
 Diabetes mellitus 42 (21.2%) 30 (29.4%) 8 (40.0%) 4 (40.0%) 2 (33.3%) 0.182
 Hepatic cirrhosis 78 (39.4%) 32 (31.4%) 14 (70.0%) 8 (80.0%) 0 (0%) < 0.001
 Solid organ malignancy 68 (34.3%) 52 (51.0%) 18 (90.0%) 4 (40.0%) 0 (0%) < 0.001
 Cerebrovascular attack 4 (2.0%) 2 (1.96%) 0 (0%) 2 (20.0%) 2 (33.3%) < 0.001
 Concurrent chemotherapy 34 (17.2%) 28 (27.5%) 10 (50.0%) 2 (20.0%) 0 (0%) 0.004
Central venous catheterization 56 (28.3%) 20 (19.6%) 0 (0%) 0 (0%) 4 (66.7%) 0.001
Urinary catheterization 62 (31.3%) 16 (15.7%) 0 (0%) 0 (0%) 4 (66.7%) < 0.001
Ventilator-assisted state 14 (7.1%) 0 (0%) 0 (0%) 0 (0%) 4 (66.7%) < 0.001
Shock 66 (33.3%) 14 (13.7%) 0 (0%) 4 (40.0%) 2 (33.3%) < 0.001
Use combination of antimicrobial agents 107 (54.0%) 50 (49.0%) 0 (0%) 3 (30.0%) 6 (100.0%) < 0.001
Inappropriate antimicrobial agent use 72 (36.4%) 60 (58.8%) 8 (40.0%) 0 (0%) 0 (0%) 0.065
Duration of antimicrobial agent use (day, mean) 11.23 12.69 9.40 8.40 18.00 < 0.001
Laboratory findings
 White blood cell count (number/ mm3) 12.45 16.66 4.83 10.02 17.02 < 0.001
 Platelet (×103/mm3) 118.35 136.53 59.10. 72.40 226.33 < 0.001
 Glucose (mg/dL) 164.76 162.18 132.70 165.00 292.00 < 0.001
 Alkaline phosphatase (ALP) (IU/L, mean) 380.95 217.63 159.00 153.00 499.33 < 0.001
 Aspartate transaminase (AST) (U/L, mean) 209.30 286.27 56.50 596.00 140.67 < 0.001
 Alanine transaminase (ALT) (U/L, mean) 140.33 184.31 42.90 344.00 72.00 < 0.001
 Bilirubin (mg/dL) 6.62 6.20 2.78 7.71 0.60 < 0.001
 Prothrombin time (PT) (INR, mean) 2.01 1.98 1.60 1.73 1.18 < 0.001
 activated partial thromboplastin time (aPTT) (sec) 55.29 47.97 45.76 47.14 29.03 < 0.001
 Creatinine (mg/dL) 1.27 1.20 0.93 1.12 1.03 < 0.001
Antimicrobial agent (susceptibility within all isolates, n [%]) Susceptibility within species, n (%)
 Ampicillin (28 [8.3%]) 8 (4.0%) 16 (15.7%) 4 (20%) 0 (0%) 0 (0%) <0.001
 Ampicillin/Sulbactam (92 [28.9%]) 50 (25.3%) 32 (31.4%) 10 (50%) 0 (0%) 0 (0%) 0.014
 Piperacillin (268 [79.8%]) 154 (77.8%) 82 (80.4%) 20 (100%) 10 (100%) 2 (33.3%) 0.003
 Piperacillin/Tazobactam (284 [84.5%]) 160 (80.8%) 92 (90.2%) 20 (100%) 10 (100%) 2 (33.3%) <0.001
 Ceftriaxone (284 [84.5%]) 170 (85.9%) 84 (82.4%) 20 (100%) 8 (80%) 2 (33.3%) 0.002
 Ceftazidime (312 [92.9%]) 182 (91.9%) 98 (96.1%) 20 (100%) 10 (100%) 2 (33.3%) <0.001
 Ciprofloxacin (302 [89.9%]) 176 (89.9%) 90 (88.2%) 20 (100%) 10 (100%) 6 (100%) 0.334
 Imipenem (303 [90.2%]) 165 (83.3%) 102 (100%) 20 (100%) 10 (100%) 6 (100%) 0.021
 Tobramycin (288 [85.7%]) 160 (80.8%) 100 (98.0%) 14 (70%) 8 (80%) 6 (100%) <0.001
 Gentamicin (312 [92.9%]) 178 (89.9%) 100 (98.0%) 20 (100%) 8 (80%) 6 (100%) 0.024
 Amikacin (326 [97.0%]) 188 (94.9%) 102 (100%) 20 (100%) 10 (100%) 6(100%) 0.127
 Trimethoprim/Sulfamethoxazole (294 [87.8%]) 167 (84.3%) 97 (95.1%) 20 (100%) 8 (80%) 2 (33.3%) <0.001