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- W3113232702 abstract "Abstract Backgroud : Monomicrobial necrotizing fasciitis (NF) caused by Vibrio vulnificus , Aeromonas hydrophila and Aeromonas sobria are often associated with high mortality rates. The purpose of this study was to compare the independent predictors related to outcomes between of Vibrio vulnificus and Aeromonas spp. necrotizing fasciitis. We also investigated the risk factors association with mortality in patients with monomicrobial Aeromonas necrotizing fasciitis. Methods : Monomicrobial necrotizing fasciitis caused by Vibrio vulnificus (60 patients) and Aeromonas species (31 patients) over an 11-year period were retrospectively reviewed. Differences in mortality, patient characteristics, clinical presentations, and laboratory data were compared between the Vibrio vulnificus and Aeromonas species groups, and between the death and the survival subgroups Aeromonas patients. Results : Six patients in the Vibrio vulnificus group (10%) and eleven in the Aeromonas group (32.3%) died. Vibrio vulnificus patients had a significant higher incidence of bacteremia; however, the proportion of Aeromonas patients presenting bacteremia associated with death was significantly higher than that of Vibrio vulnificus group ( p = 0.0002). Aeromonas isolates had a significant higher incidience of antibiotics resistance ( p = 0.0001). The death subgroup of Aeromonas NF patients had a significantly higher incidence of bacteremia ( p = 0.001), higher counts of banded leukocytes ( p = 0.026), lower platelet counts ( p = 0.043), lower total lymphocyte counts ( p = 0.013), and lower serum albumin level ( p = 0.019) than the survival subgroup. Conclusion : Monomicrobial necrotizing fasciitis caused by Aeromonas spp. was characterized more fulminating and higher mortality than that of the Vibrio vulnificus infection even after early fasciotomy and third-generation cephalosporin antibiotic therapy. The death patients of Aeromonas group have a significantly higher proportion of antibiotics resistance and bacteremia, higher incidence of shock, lower lymphocyte counts, and lower albumin levels than the Vibrio patients who died. Level of Evidence: Therapeutic level III." @default.
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- W3113232702 date "2020-04-10" @default.
- W3113232702 modified "2023-10-04" @default.
- W3113232702 title "Patients with Monomicrobial Aeromonas Necrotizing Fasciitis Had Higher Mortality Rates Than Those of Vibrio vulnificus Infections" @default.
- W3113232702 doi "https://doi.org/10.21203/rs.3.rs-21986/v1" @default.
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