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.
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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: | https://eprints.ugd.edu.mk/id/eprint/10214 |
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