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Zhang G, Wang X, Zhu S, Luo L. Hyponatremia as a Marker for Predicting Surgical Intervention in Necrotizing Enterocolitis: A Retrospective Cohort Study. J Surg Res 2024; 295:364-369. [PMID: 38064977 DOI: 10.1016/j.jss.2023.11.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 10/03/2023] [Accepted: 11/12/2023] [Indexed: 02/25/2024]
Abstract
INTRODUCTION To investigate the predictive value of plasma sodium at the onset of necrotizing enterocolitis (NEC) diagnosis in distinguishing surgical NEC from medical NEC. METHODS A retrospective review of all NEC neonates treated at our hospital between 2008 and 2022. Patients were divided into two groups based on treatment methods: surgical intervention and medical treatment. Patient demographics, laboratory parameters, and outcomes were all documented. The values of laboratory parameters were collected at the onset of NEC and after treatment. To identify potential predictors of surgical NEC, multivariate logistic regression analyses were used. The receiver operating characteristic curve was applied to determine predictive factors. RESULTS Surgical treatment was performed in 111 infants (44.6%), and medical treatment in 138 cases (55.4%). Of 249 infants with NEC, 22 patients exhibited Bell stage I, 91 infants had Bell stage II, and 136 patients displayed Bell stage III. We discovered that white blood cell (WBC), C-reactive protein (CRP), fibrinogen, and sodium were independent predictors of NEC receiving surgery based on the results of the multivariate logistic regression analysis. Hyponatremia was found in 122 of the 249 patients (49%). At the onset of NEC diagnosis, hyponatremia was found in 83.8% of surgical intervention group and in 21.0% of medical treatment group (P < 0.001). Sensitivity, specificity, positive predictive value, and negative predictive value for WBC, CRP, fibrinogen, and sodium were calculated. The cutoff values were determined using receiver operating characteristic analysis. The area under the curve of hyponatremia for surgical intervention was 0.875, with 84% sensitivity, 80% specificity, 77% positive predictive value, and 86% negative predictive value, which had a greater specificity (0.80) for predicting surgical intervention than WBC (0.67), CRP (0.50), and fibrinogen (0.70). CONCLUSIONS When a surgical evaluation is necessary, hyponatremia can effectively distinguish surgical NEC from medical NEC. It could be used as a predictive marker to guide parental counseling for surgical intervention and rapid transfer of patients to tertiary centers when they have a surgical condition.
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Affiliation(s)
- Gang Zhang
- Department of Pediatric Surgery, Northwest Women's and Children's Hospital, Xi'An, Shaanxi, China
| | - Xinxin Wang
- Department of Radiation Oncology, The Third Hospital of Nanchang, Nanchang, Jiangxi, China
| | - Suyue Zhu
- Department of Pediatrics, Suqian Hospital Affiliated to Xuzhou Medical University, Suqian, Jiangsu, China
| | - Laiyue Luo
- Department of Nephrology, Anji County People's Hospital, Huzhou, Zhejiang, China.
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Dobrović K, Mareković I, Payerl-Pal M, Andrijašević N, Škrobo T, Košćak V, Grgurić D, Crnek SŠ, Janeš A, Lukić-Grlić A, Selec K, Bukovski S, Čivljak R. Outbreak of healthcare-associated bacteremia caused by Burkholderia gladioli due to contaminated multidose vials with saline solutions in three Croatian hospitals. Int J Infect Dis 2022; 121:152-156. [PMID: 35562041 DOI: 10.1016/j.ijid.2022.05.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 03/27/2022] [Accepted: 05/05/2022] [Indexed: 10/18/2022] Open
Abstract
OBJECTIVES Burkholderia gladioli has been associated with infections in patients with cystic fibrosis, chronic granulomatous disease, and other immunocompromising conditions. The aim of this study was to better depict the outbreak of healthcare-associated bacteremia caused by B. gladioli due to exposure to contaminated multidose vials with saline solutions. METHODS An environmental and epidemiologic investigation was conducted by the Infection Prevention and Control Team (IPCT) to identify the source of the outbreak in three Croatian hospitals. RESULTS During a 3-month period, 13 B. gladioli bacteremia episodes were identified in 10 patients in three Croatian hospitals. At the time of the outbreak, all three hospitals used saline products from the same manufacturer. Two 100-ml multidose vials with saline solutions and needleless dispensing pins were positive for B. gladioli. All 13 bacteremia isolates and two isolates from the saline showed the same antimicrobial susceptibility patterns and pulsed-field gel electrophoresis profile, demonstrating clonal relatedness. CONCLUSION When an environmental pathogen causes an outbreak, contamination of intravenous products must be considered. Close communication between the local IPCT and the National Hospital Infection Control Advisory Committee is essential to conduct a prompt and thorough investigation and find the source of the outbreak.
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Affiliation(s)
- Karolina Dobrović
- Department of Clinical Microbiology and Hospital Infections, Clinical Hospital Dubrava, Zagreb, Croatia
| | - Ivana Mareković
- Clinical Department of Clinical and Molecular Microbiology and Hospital Infections, University Hospital Center Zagreb, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
| | | | - Nataša Andrijašević
- Department of Clinical Microbiology, "Dr. Fran Mihaljević" University Hospital for Infectious Diseases, Zagreb, Croatia
| | - Tea Škrobo
- Department of Clinical Microbiology and Hospital Infections, Clinical Hospital Dubrava, Zagreb, Croatia
| | - Valentina Košćak
- Department of Clinical Microbiology and Hospital Infections, Clinical Hospital Dubrava, Zagreb, Croatia
| | - Dubravka Grgurić
- Department of Clinical Microbiology and Hospital Infections, Clinical Hospital Dubrava, Zagreb, Croatia
| | - Sandra Šestan Crnek
- Department of Clinical Microbiology and Hospital Infections, Clinical Hospital Dubrava, Zagreb, Croatia
| | - Andrea Janeš
- Department of Clinical Microbiology and Hospital Infections, Sveti Duh University Hospital, Zagreb, Croatia
| | - Amarela Lukić-Grlić
- University of Zagreb School of Medicine, Zagreb, Croatia; Department of Clinical Microbiology, Children's Hospital Zagreb, Zagreb, Croatia
| | - Katarina Selec
- Department of Clinical Microbiology and Hospital Infections, Clinical Hospital Dubrava, Zagreb, Croatia
| | - Suzana Bukovski
- Department of Clinical Microbiology, "Dr. Fran Mihaljević" University Hospital for Infectious Diseases, Zagreb, Croatia; Catholic University of Croatia, Zagreb, Croatia; Faculty of Dental Medicine and Health, J. J. Strossmayer University, Osijek, Croatia
| | - Rok Čivljak
- University of Zagreb School of Medicine, Zagreb, Croatia; Department of Respiratory Tract Infections, University Hospital for Infectious Diseases, Zagreb, Croatia.
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Wang YT, Li XW, Xu PY, Yang C, Xu JC. Multiple skin abscesses associated with bacteremia caused by Burkholderia gladioli: A case report. World J Clin Cases 2022; 10:2286-2293. [PMID: 35321166 PMCID: PMC8895184 DOI: 10.12998/wjcc.v10.i7.2286] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 11/24/2021] [Accepted: 01/22/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Burkholderia gladioli (B. gladioli) is regarded as a rare opportunistic pathogen. Only a few patients with abscesses caused by B. gladioli infections have been reported, and these are usually abscesses at the incision caused by traumatic surgery.
CASE SUMMARY A 74-year-old male patient with abscesses and pain throughout his body for 1 mo was admitted to our hospital. Some of the abscesses had ruptured with purulent secretions on admission. Color Doppler ultrasound examination of the body surface masses showed mixed masses 75 mm × 19 mm, 58 mm × 17 mm, 17 mm × 7 mm, and 33 mm × 17 mm in size in the muscle tissues of both the right and left forearms, the posterior area of the right knee and the left leg, respectively. Abscess secretions and blood cultures grew B. gladioli. The following 3 methods were used to jointly identify the bacterium: an automatic microbial identification system, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry, and full-length 16S rDNA sequencing. After 27 d of treatment with meropenem, etimicin, trimethoprim-sulfamethoxazole and other antibiotics, most of his skin abscesses were flat and he was discharged without any symptoms.
CONCLUSION This is the first reported case of multiple skin abscesses associated with bacteremia caused by B. gladioli. Our study provides important reference values for the clinical diagnosis and treatment of B. gladioli infections.
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Affiliation(s)
- Yi-Ting Wang
- The First Hospital of Jilin University, Laboratory Medicine, Changchun 130021, Jilin Province, China
| | - Xue-Wen Li
- The First Hospital of Jilin University, Laboratory Medicine, Changchun 130021, Jilin Province, China
| | - Pan-Yang Xu
- The First Hospital of Jilin University, Laboratory Medicine, Changchun 130021, Jilin Province, China
| | - Chun Yang
- The First Hospital of Jilin University, Laboratory Medicine, Changchun 130021, Jilin Province, China
| | - Jian-Cheng Xu
- The First Hospital of Jilin University, Laboratory Medicine, Changchun 130021, Jilin Province, China
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Burkholderia gladioli CGB10: A Novel Strain Biocontrolling the Sugarcane Smut Disease. Microorganisms 2020; 8:microorganisms8121943. [PMID: 33297590 PMCID: PMC7762381 DOI: 10.3390/microorganisms8121943] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 11/27/2020] [Accepted: 12/04/2020] [Indexed: 12/14/2022] Open
Abstract
In this study, we isolated an endophytic Burkholderia gladioli strain, named CGB10, from sugarcane leaves. B. gladioli CGB10 displayed strong inhibitory activity against filamentous growth of fungal pathogens, one of which is Sporisorium scitamineum that causes sugarcane smut, a major disease affecting the quality and production of sugarcane in tropical and subtropical regions. CGB10 could effectively suppress sugarcane smut under field conditions, without itself causing any obvious damage or disease, thus underscoring a great potential as a biocontrol agent (BCA) for the management of sugarcane smut. A toxoflavin biosynthesis and transport gene cluster potentially responsible for such antifungal activity was identified in the CGB10 genome. Additionally, a quorum-sensing gene cluster was identified too and compared with two close Burkholderia species, thus supporting an overall connection to the regulation of toxoflavin synthesis therein. Overall, this work describes the in vitro and field Sporisorium scitamineum biocontrol by a new B. gladioli strain, and reports genes and molecular mechanisms potentially involved.
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Marom A, Miron D, Wolach B, Gavrieli R, Rottem M. Burkholderia gladioli-associated facial pustulosis as a first sign of chronic granulomatous disease in a child - Case report and review. Pediatr Allergy Immunol 2018; 29:451-453. [PMID: 29509962 DOI: 10.1111/pai.12884] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Adiel Marom
- Department of Pediatrics A, Emek Medical Center, Afula, Israel.,Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel
| | - Dan Miron
- Department of Pediatrics A, Emek Medical Center, Afula, Israel.,Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel
| | - Baruch Wolach
- Pediatric Hematology Clinic and the Laboratory for Leukocyte Function, Meir Medical Center, Kfar Saba, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ronit Gavrieli
- Pediatric Hematology Clinic and the Laboratory for Leukocyte Function, Meir Medical Center, Kfar Saba, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Menachem Rottem
- Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.,Allergy Asthma and Immunology, Emek Medical Center, Afula, Israel
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Abstract
In the 1990s several biocontrol agents on that contained Burkholderia strains were registered by the United States Environmental Protection Agency (EPA). After risk assessment these products were withdrawn from the market and a moratorium was placed on the registration of Burkholderia-containing products, as these strains may pose a risk to human health. However, over the past few years the number of novel Burkholderia species that exhibit plant-beneficial properties and are normally not isolated from infected patients has increased tremendously. In this commentary we wish to summarize recent efforts that aim at discerning pathogenic from beneficial Burkholderia strains.
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Affiliation(s)
- Leo Eberl
- Department of Plant and Microbial Biology, University Zürich, Zurich, CH-8008, Switzerland
| | - Peter Vandamme
- Laboratory of Microbiology, Ghent University, Ledeganckstraat 35, B-9000 Gent, Belgium
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Shehata H, Lyons E, Jordan K, Raizada M. Bacterial endophytes from wild and ancient maize are able to suppress the fungal pathogen Sclerotinia homoeocarpa. J Appl Microbiol 2016; 120:756-69. [DOI: 10.1111/jam.13050] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2015] [Revised: 11/29/2015] [Accepted: 12/28/2015] [Indexed: 01/01/2023]
Affiliation(s)
- H.R. Shehata
- Department of Plant Agriculture; University of Guelph; Guelph ON Canada
- Department of Microbiology; School of Pharmacy; Mansoura University; Mansoura Egypt
| | - E.M. Lyons
- Department of Plant Agriculture; University of Guelph; Guelph ON Canada
| | - K.S. Jordan
- Department of Plant Agriculture; University of Guelph; Guelph ON Canada
| | - M.N. Raizada
- Department of Plant Agriculture; University of Guelph; Guelph ON Canada
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