Title of the article: Aeromonas infections in humans: clinical presentation, resistance patterns, and outcomes in a south indian tertiary care centre
摘要
Aeromonas species are increasingly recognized as emerging human pathogens capable of causing a wide spectrum of infections ranging from skin and soft tissue infections to life-threatening bacteremia. Data from India describing their clinical spectrum and antimicrobial resistance patterns remain limited.
MethodsWe conducted a retrospective study of 61 culture-proven cases of Aeromonas infection identified between 2019 and 2025 at a tertiary care centre in South India. Demographic characteristics, clinical presentation, comorbidities, microbiological findings, antimicrobial susceptibility patterns, treatment, and outcomes were analysed.
ResultsThe mean patient age was 46 years, and 57% were male. The most common clinical presentations were skin and soft tissue infections (40.9%) and bacteremia (40.9%), while pulmonary and urinary infections were less frequent. Common comorbidities included diabetes mellitus (27.8%) and chronic liver disease (14.7%), and trauma preceded infection in 16.3% of cases. Antimicrobial susceptibility testing showed high resistance to carbapenems, with resistance rates of 54.7% to meropenem and 27.8% to imipenem. In contrast, cephalosporins largely retained activity. Overall, 81.9% of patients recovered, whereas the mortality rate was 13.1%
ConclusionAeromonas infections present with diverse clinical manifestations and may show substantial resistance to carbapenems. Early microbiological diagnosis and rational antibiotic selection are essential for optimal management and improved outcomes.