Unusual appearance of Stenotrophomonas maltophilia in entubated patients hospitalized in Clinic for anestesiology, reanimation and intensive care) - KARIL Skopje

Popovska, Katja and Soljakova, Marija and Zdravkovska, Milka and Gerasimovska, Vesna and Zdravevska, E and Icev, Konstantin (2011) Unusual appearance of Stenotrophomonas maltophilia in entubated patients hospitalized in Clinic for anestesiology, reanimation and intensive care) - KARIL Skopje. In: International Journal of Infection Control;Eleventh Congress of the International Federation of Infection Control, 12-15 Oct 2011, Venice, Italy.

[img]
Preview
Text
IFIC 2011 Venecia -9347-32444-1.pdf

Download (1302Kb) | Preview
Official URL: http://www.ific2011.com

Abstract

Stenotrophomonas maltophilia-associated infection is increasingly recognized as an nosocomial infection which occurs, in immunosuppressed individuals but not exclusively. Many strains of the bacterium manifest resistance to multiple antibiotics. It is considered an environmental bacterium, although little is known of the epidemiology of S. maltophilia, its sources and reservoirs. Even less is known of pathogenic mechanisms and virulence factors and this, reflects over difficulties in distinguishing colonization from true infection, which has fostered the view that the bacterium is essentially non-pathogenic.This study is generaly case report of unusual isolation of originated from medical devices (endotracheal tubes) used to support immunosuppressed surgical patients in KARIL and attempt to distinguish colonization from infection. During our continious monitoring procedure in KARIL, we have isolated 9 multi-drug resistant strains of Stenotrophomonas maltophilia (100% resistance to cefixime, ceftriaxone, cefuroxime, cefotaxime, coamoxiclav,imipenem). Automatic VITEK technique has been used for identification as well as for antibiotik susceptibility testing, to confirm traditional microbiological tecniques (morphology of colonies on blood agar plates and positive oxidase test,diskdifussion method and E-test).All patients suffered from traumatic haemoragical shock syndrome. Clinical significance has been confirmed in 2 cases with clinical signs for lower respiratory infection (high body temperatute 38.5oC, and Ro confirmation). These patients have been treated with clindamycin and ceftriaxone with recovering period in 4 days. Keywords:Stenotrophomonas maltophilia, ICU, clinical significance, endotracheal tube

Item Type: Conference or Workshop Item (Speech)
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Divisions: Faculty of Medical Science
Depositing User: Milka Zdravkovska
Date Deposited: 26 Jun 2014 13:38
Last Modified: 24 Oct 2014 10:43
URI: http://eprints.ugd.edu.mk/id/eprint/10214

Actions (login required)

View Item View Item