Literature DB >> 27681894

Erratum to: Clinical characteristics and outcomes of spontaneous bacterial peritonitis caused by Enterobacter species versus Escherichia coli: a matched case-control study.

Seongman Bae1, Taeeun Kim1, Min-Chul Kim1, Yong Pil Chong1, Sung-Han Kim1, Heungsup Sung2, Young-Suk Lim3, Sang-Oh Lee1, Mi-Na Kim2, Yang Soo Kim1, Jun Hee Woo1, Sang-Ho Choi4.   

Abstract

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Year:  2016        PMID: 27681894      PMCID: PMC5039912          DOI: 10.1186/s12879-016-1828-0

Source DB:  PubMed          Journal:  BMC Infect Dis        ISSN: 1471-2334            Impact factor:   3.090


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Erratum description

n.b. The errors and associated corrections described in this document concerning the original manuscript were accountable to the production department handling this manuscript, and thus are no fault of the authors of this paper. In the original publication of this article [1], the tables were inadvertently omitted. These can be found below: Demographic and baseline clinical characteristics of patients with spontaneous bacterial peritonitis Values are n (%) unless otherwise indicated. MELD model for end-stage liver disease, IQR interquartile range ERCP endoscopic retrograde cholangiopancreatography aAscites culture was positive bAscites culture was negative, while blood culture was positive without any other primary focus Clinical manifestations and laboratory findings of patients with spontaneous bacterial peritonitis by study group WBC white blood cells, IQR interquartile range Antimicrobial susceptibility of isolates of Enterobacter species and Escherichia coli Values are n (%) unless otherwise indicated aNot all of the isolates underwent susceptibility testing bMeans cefotaxime or ceftriaxone. The susceptibility to third-generation cephalosporins was defined by the breakpoints of the 2008 Clinical Laboratory Standards Institute guidelines (susceptible, ≤ 8 μg/ml; intermediate, 16–32 μg/ml; and resistant, ≥ 64 μg/ml) [18] Treatments and outcomes in patients with spontaneous bacterial peritonitis caused by Enterobacter species and Escherichia coli Values are n (%) unless otherwise indicated. IQR interquartile range, ICU intensive care unit aAscitic neutrophil decrease >25 % observed 48–72 h after initiating antimicrobials
Table 1

Demographic and baseline clinical characteristics of patients with spontaneous bacterial peritonitis

Variable Enterobacter SBP(n = 32) E. coli SBP(n = 128) P
Male sex26 (81.3)104 (81.3)
Age, years (mean ± SD)55 ± 10.955 ± 11.7
SBP subtype0.03
 Definite SBPa 26 (81.2)78 (60.9)
 Probable SBPb 6 (18.8)50 (39.1)
Place of acquisition<0.001
 Community12 (37.5)98 (76.6)
 Hospital20 (62.5)30 (23.4)
Concomitant hepatocellular carcinoma21 (65.6)48 (37.5)0.004
Causes of liver cirrhosis0.79
 Hepatitis B virus21 (65.6)88 (68.8)
 Hepatitis C virus2 (6.2)13 (10.2)
 Alcoholism6 (18.8)19 (14.8)
 Others3 (9.4)8 (6.2)
Child-Pugh class0.006
 A1 (3.1)0 (0)
 B10 (31.3)17 (13.3)
 C21 (65.6)111 (86.7)
MELD score, median (IQR)19 (15–24)23 (18–29)0.03
Underlying diseases
 Diabetes mellitus9 (28.1)25 (19.5)0.29
 Alcoholism6 (18.8)23 (18.0)0.92
 Solid cancer (other than hepatoma)3 (9.4)4 (3.1)0.14
 Chronic kidney disease1 (3.1)2 (1.6)0.49
 Solid organ transplantation1 (3.1)0 (0)0.20
Comorbid conditions
 Transarterial chemoembolization (<30 days)4 (12.5)4 (3.1)0.052
 Endoscopic intervention (≤30 days)8 (25.0)7 (5.5)0.001
 Varix control56
 ERCP31
Systemic anticancer chemotherapy (≤30 days)3 (9.4)0 (0)0.007
Prior hospitalization (≤90 days)26 (81.2)74 (57.8)0.01
Prior antimicrobial therapy (<30 days)19 (59.4)36 (28.1)0.001

Values are n (%) unless otherwise indicated. MELD model for end-stage liver disease, IQR interquartile range

ERCP endoscopic retrograde cholangiopancreatography

aAscites culture was positive

bAscites culture was negative, while blood culture was positive without any other primary focus

Table 2

Clinical manifestations and laboratory findings of patients with spontaneous bacterial peritonitis by study group

Variable Enterobacter SBP(n = 32) E. coli SBP(n = 128) P
Initial clinical manifestation, n (%)
 Abdominal pain23 (71.9)90 (70.3)0.86
 Fever24 (75.0)87 (68.0)0.44
 Hepatic encephalopathy6 (18.8)34 (26.6)0.36
 Septic shock5 (15.6)31 (24.2)0.30
Upper gastrointestinal bleeding, n (%)9 (28.1)12 (9.4)0.005
 Variceal bleeding711
 Ulcer bleeding11
 Duodenal invasion of cancer10
Concomitant bacteremia, n (%)11 (34.4)87 (68.0)0.001
Laboratory finding, median (IQR)
 Serum WBC, cells/μL8,050 (5,125 − 13,200)6,450 (4,400 − 9,675)0.12
 Platelets, x 10/mL61 (44–104)62 (41–85)0.15
 C-reactive protein, mg/dL6.41 (2.1–7.9)3.06 (1.1–6.2)0.06
 Serum creatinine, mg/dL1.2 (0.9–1.5)1.2 (0.9–1.7)0.80
 Serum bilirubin, mg/dL3.8 (2.6–12.2)5.3 (3.5–10.3)0.79
 Ascites WBC, cells/μL6,160 (1,945–11,795)5,360 (2,690–11,960)0.45
 Ascites neutrophils, cells/μL5,058 (1,483–10,899)4,275 (2,092–10,771)0.46
Ascites protein, mg/dL1.5 (1.0–2.5)1.0 (0.8–1.4)0.003

WBC white blood cells, IQR interquartile range

Table 3

Antimicrobial susceptibility of isolates of Enterobacter species and Escherichia coli

Antimicrobiala Enterobacter SBP(n = 31) E. coli SBP(n = 125) P
Cefotaxime23/31 (74.2)106/125 (84.8)0.16
Ceftazidime22/31 (71.0)106/125 (84.8)0.07
Ceftriaxone22/31 (71.0)106/125 (84.8)0.07
Third-generation cephalosporinsb 22/31 (71.0)106/125 (84.8)0.07
Cefepime25/29 (86.2)103/123 (83.7)1.00
Ciprofloxacin25/31 (80.6)76/125 (60.8)0.038
Piperacillin/tazobactam23/31 (74.2)116/125 (92.8)0.003
Imipenem31/31 (100.0)125/125 (100.0)1.00
Trimethoprim-sulfamethoxazole27/31 (87.1)74/125 (59.2)0.003
Amikacin30/31 (96.8)124/125 (99.2)0.36
Gentamicin27/31 (87.1)84/125 (67.2)0.03
Tobramycin27/31 (87.1)81/125 (64.8)0.02

Values are n (%) unless otherwise indicated

aNot all of the isolates underwent susceptibility testing

bMeans cefotaxime or ceftriaxone. The susceptibility to third-generation cephalosporins was defined by the breakpoints of the 2008 Clinical Laboratory Standards Institute guidelines (susceptible, ≤ 8 μg/ml; intermediate, 16–32 μg/ml; and resistant, ≥ 64 μg/ml) [18]

Table 4

Treatments and outcomes in patients with spontaneous bacterial peritonitis caused by Enterobacter species and Escherichia coli

Variable Enterobacter SBP (n = 32) E. coli SBP (n = 128) P
Initial empirical antimicrobial agent
 Cefotaxime27 (84.4)116 (90.6)0.31
 Imipenem or meropenem4 (12.4)9 (7.0)
 Cefazolin1 (3.1)0 (0)
 Ceftazidime0 (0)1 (0.8)
 Cefepime0 (0)1 (0.8)
 Levofloxacin0 (0)1 (0.8)
Appropriateness of initial therapy27 (87.1)109 (87.2)1.00
Initial response to empirical treatmenta 26/32 (81.3)95/117 (81.2)0.995
Emergence of resistance during third-generation cephalosporin treatment1/23 (4.3)0/98 (0)0.19
Duration of hospitalization, median days (IQR)
 Overall20 (11–31)16 (10–26)0.28
 Survivors22 (12–31)16 (11–26)0.41
Duration of antimicrobial use, median days (IQR)
 Overall15 (11–25)13 (8–16)0.02
 Survivors16 (13–29)13 (10–16)0.01
ICU care during admission2 (6.2)19 (14.8)0.25
Mortality
 14-day mortality7 (21.9)25 (19.5)0.77
 30-day mortality12 (37.5)37 (28.9)0.35
 In-hospital mortality12 (37.5)28 (21.9)0.07

Values are n (%) unless otherwise indicated. IQR interquartile range, ICU intensive care unit

aAscitic neutrophil decrease >25 % observed 48–72 h after initiating antimicrobials

  1 in total

1.  Clinical characteristics and outcomes of spontaneous bacterial peritonitis caused by Enterobacter species versus Escherichia coli: a matched case-control study.

Authors:  Seongman Bae; Taeeun Kim; Min-Chul Kim; Yong Pil Chong; Sung-Han Kim; Heungsup Sung; Young-Suk Lim; Sang-Oh Lee; Mi-Na Kim; Yang Soo Kim; Jun Hee Woo; Sang-Ho Choi
Journal:  BMC Infect Dis       Date:  2016-06-07       Impact factor: 3.090

  1 in total

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