Gade Neeta, Negi Sanjay Singh, Jindal Atul, Gaikwad Ujjwala, Das Padma, Bhargava Anudita
Senior Resident, Department of Microbiology, All India Institute of Medical Sciences (AIIMS) , Raipur, Chhattisgarh, India .
Assistant Professor, Department of Microbiology, All India Institute of Medical Sciences (AIIMS) , Raipur, Chhattisgarh, India .
J Clin Diagn Res. 2016 Oct;10(10):DD01-DD03. doi: 10.7860/JCDR/2016/21983.8735. Epub 2016 Oct 1.
() and (), the highly intrinsically resistant nonfermenters are known to cause frequent infections in immunocomproimsed or hospitalized patients with significant mortality rate. In this rare clinical presentation, both were simultaneously isolated from a case of neonatal sepsis with respiratory failure. The prompt early diagnosis and antibiogram of these nonfermenters were proved to be of tremendous help in the present case with successful treatment outcome of dual infection of and . The present case report strongly emphasises the clinical importance of early accurate diagnosis of these emerging potential fatal non-fermenters which could otherwise prove fatal in case of any slight delay or misidentification. Implementation of strict surveillance policy to monitor the growth of these non-fermenters and draconian infection control measure holds a key to success in significant reduction of the associated mortality and morbidity.
（）和（），高度内在耐药的非发酵菌已知会在免疫受损或住院患者中频繁引起感染，死亡率很高。在这种罕见的临床表现中，两种非发酵菌同时从一例患有呼吸衰竭的新生儿败血症病例中分离出来。事实证明，对这些非发酵菌的及时早期诊断和抗菌谱分析在本病例中对成功治疗和的双重感染有极大帮助。本病例报告强烈强调了早期准确诊断这些新出现的潜在致命非发酵菌的临床重要性，否则稍有延迟或误诊都可能证明是致命的。实施严格的监测政策以监测这些非发酵菌的生长情况以及严格的感染控制措施是大幅降低相关死亡率和发病率的成功关键。
