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小儿患者中由浅黄假单胞菌引起的菌血症。

Bacteremia caused by Pseudomonas luteola in pediatric patients.

作者信息

Bayhan Gulsum Iclal, Senel Saliha, Tanir Gonul, Ozkan Sengul

机构信息

Department of Pediatric Infectious Disease, Dr. Sami Ulus Maternity and Children's Health Education and Research Hospital.

出版信息

Jpn J Infect Dis. 2015;68(1):50-4. doi: 10.7883/yoken.JJID.2014.051. Epub 2014 Nov 25.

Abstract

Pseudomonas luteola has rarely been reported as a human pathogen. The clinical manifestations of P. luteola bacteremia and its susceptibility to antibiotics have not been characterized. This retrospective study was conducted at a 382-bed tertiary care center in Turkey. During the 9-year study period, 7 patients (5 females and 2 males) were diagnosed with P. luteola bacteremia. Six of these patients had hospital-acquired bacteremia, whereas 1 patient had community-acquired P. luteola infection. All patients had monomicrobial bacteremia. Antimicrobial susceptibility testing revealed that all strains of P. luteola were sensitive to amikacin, gentamicin, trimethoprim-sulfamethoxazole, and meropenem, and that all strains were resistant to piperacillin-tazobactam, aztreonam, and colistin. In conclusion, we believe that P. luteola can cause both community- and hospital-acquired bacteremia. Amikacin, gentamicin, trimethoprim-sulfamethoxazole, and meropenem were effective against P. luteola in the present study.

摘要

浅黄假单胞菌作为人类病原体的报道很少。浅黄假单胞菌菌血症的临床表现及其对抗生素的敏感性尚未得到明确描述。这项回顾性研究在土耳其一家拥有382张床位的三级医疗中心进行。在9年的研究期间,7例患者(5例女性和2例男性)被诊断为浅黄假单胞菌菌血症。其中6例患者为医院获得性菌血症,而1例患者为社区获得性浅黄假单胞菌感染。所有患者均为单一微生物菌血症。抗菌药物敏感性测试显示,所有浅黄假单胞菌菌株对阿米卡星、庆大霉素、甲氧苄啶-磺胺甲恶唑和美罗培南敏感,所有菌株对哌拉西林-他唑巴坦、氨曲南和黏菌素耐药。总之,我们认为浅黄假单胞菌可引起社区获得性和医院获得性菌血症。在本研究中,阿米卡星、庆大霉素、甲氧苄啶-磺胺甲恶唑和美罗培南对浅黄假单胞菌有效。

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