Severe community-acquired Enterobacter pneumonia: a plea for greater awareness of the concept of health-care-associated pneumonia

Severe community-acquired Enterobacter pneumonia: a plea for greater awareness of the concept of health-care-associated pneumonia

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Abstract Background Patients with Enterobacter community-acquired pneumonia (EnCAP) were admitted to our intensive care unit (ICU).Our primary aim was to describe them as few data are available on EnCAP.A comparison with Calcium Supplements CAP due to common and typical bacteria was performed.

Methods Baseline clinical, biological and radiographic characteristics, criteria for health-care-associated pneumonia (HCAP) were compared between each case of EnCAP and thirty age-matched typical CAP cases.A univariate and multivariate logistic regression analysis was performed to determine factors independently associated with ENCAP.Their outcome was also compared.

Results In comparison with CAP due to common bacteria, a lower leukocytosis and constant HCAP criteria were associated with EnCAP.Empiric antibiotic therapy was less effective in EnCAP (20%) than in typical CAP (97%) (p Conclusions EnCAP is a severe infection which is more consistent with HCAP than OREGANO with typical CAP.This retrospectively suggests that the application of HCAP guidelines should have improved EnCAP management.