Enterobacter

<Bacteria>   <Mico-Organisms>

<Index>

 

 

 

Features

-  G- rod shaped bacteria

-  Facultive anaerobe

-  Enterobacteriaceae family

-  Clinically important species: E. cloacae, E. aerogenes

-  Nosocomial infection RF

-  >2/52 in hospital (esp ICU)

-  Invasive proc in last 72hrs

-  Burns

-  Mechanical ventilation

-  CVC

-  Abx in last 30/7

-  Hepatobiliary disease

 

Presentations

-  Opportunisitc infections

-  Immunocompromised

-  Mechanically ventilated

-  UTI

-  Pneumonia

-  Endocarditis

-  Septic arthritis

-  Osteomyelitis

-  Opthalmic infections

 

Ix

-  Gram stain

-  Blood culture

 

Mx

-  Carbopenams: 1st choice

-  4th generation cephalosporins

-  Cefepine

-  Avoid 3rd gen --> multiresistance

-  Aminoglycosides

-  Quinolones