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Risk factors for mortality in patients with Stenotrophomonas maltophilia bacteremia and clinical impact of quinolone-resistant strains.嗜麦芽窄食单胞菌菌血症患者死亡的危险因素和耐喹诺酮菌株的临床影响。
BMC Infect Dis. 2019 Aug 28;19(1):754. doi: 10.1186/s12879-019-4394-4.
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Prevalence and Antibiotic Resistance of in Respiratory Tract Samples: A 10-Year Epidemiological Snapshot.呼吸道样本中[具体内容缺失]的患病率及抗生素耐药性:十年流行病学概况
Health Serv Res Manag Epidemiol. 2019 Aug 15;6:2333392819870774. doi: 10.1177/2333392819870774. eCollection 2019 Jan-Dec.
4
Stenotrophomonas maltophilia Endocarditis of an Implantable Cardioverter Defibrillator Lead.嗜麦芽窄食单胞菌致植入式心脏复律除颤器导线心内膜炎
Cureus. 2019 Mar 1;11(3):e4165. doi: 10.7759/cureus.4165.
5
Trimethoprim/Sulfamethoxazole and Moxifloxacin Therapy for a Pediatric Stenotrophomonas Maltophilia Ventriculoperitoneal Shunt Infection.甲氧苄啶/磺胺甲恶唑与莫西沙星治疗儿童嗜麦芽窄食单胞菌脑室腹腔分流感染
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Resurgence of Global Opportunistic Multidrug-resistant .全球机会性多重耐药菌的复苏
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pneumonia: A case report.肺炎:一例病例报告。
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: From trivial to grievous.从轻到重。
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as an Emerging Ubiquitous Pathogen: Looking Beyond Contemporary Antibiotic Therapy.作为一种新兴的泛在病原体:超越当代抗生素疗法的探索
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嗜麦芽寡养单胞菌:阿曼北部巴提奈省一家三级护理医院中一种新兴的机会性医院病原体。

Stenotrophomonas maltophilia: An emerging opportunistic nosocomial pathogen in a tertiary care hospital in Al Batinah North Governorate, Oman.

机构信息

Departments of Microbiology & Immunology, National University of Science and Technology, Sohar, Oman.

Department of Epidemiology and Public Health, All India Institute of Medical Sciences, Mangalgiri, India.

出版信息

Sultan Qaboos Univ Med J. 2021 Feb;21(1):e66-e71. doi: 10.18295/squmj.2021.21.01.009. Epub 2021 Mar 15.

DOI:10.18295/squmj.2021.21.01.009
PMID:33777425
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7968916/
Abstract

OBJECTIVES

, a Gram-negative non-fermentative bacillus, has emerged as an important nosocomial pathogen in recent years. It is intrinsically resistant to many antibiotics and has the ability to acquire antibiotic resistance by multiple mechanisms. Treating infections, therefore, is a serious challenge for physicians. This study aimed to investigate the antibiotic susceptibility patterns and risk factors contributing to infections.

METHODS

A retrospective cross-sectional study was conducted at Sohar Hospital in Sohar, Oman. The demographic, clinical and microbiological data of individuals from whom was isolated between September 2016 and August 2019 were reviewed. Descriptive statistics were presented as frequencies and percentages.

RESULTS

A total of 41 isolates from clinical specimens of 41 patients were studied. Infection occurred predominantly in males (73%) and the majority of patients (88%) were either ≤5 years old or >60 years old. All inpatients had at least one comorbidity while 50% had more than one. All inpatients were exposed to various medical interventions such as intensive care (44%), mechanical ventilation (41%), haemodialysis (25%), Foley's catheterisation (13%) and central venous lines (6%). Most patients (81%) were in hospital longer than two weeks. The susceptibility rates of to minocycline (97%), trimethoprim-sulfamethoxazole (93%) and levofloxacin (92%) were high; the rate was lowest for ceftazidime (50%).

CONCLUSION

was found to be an important nosocomial opportunistic pathogen. Prolonged hospital stay and exposure to various medical interventions were key factors contributing to the development of infection. Minocycline and ceftazidime were found to be the most and least susceptible drugs, respectively.

摘要

目的

是一种革兰氏阴性非发酵杆菌,近年来已成为一种重要的医院获得性病原体。它对许多抗生素具有内在抗性,并具有通过多种机制获得抗生素抗性的能力。因此,治疗 感染是医生面临的严峻挑战。本研究旨在调查 感染的抗生素敏感性模式和相关危险因素。

方法

在阿曼苏哈尔医院进行了一项回顾性横断面研究。对 2016 年 9 月至 2019 年 8 月期间从分离出 的个体的人口统计学、临床和微生物学数据进行了回顾性分析。采用描述性统计方法表示为频率和百分比。

结果

共研究了来自 41 例患者临床标本的 41 株 分离株。感染主要发生在男性(73%)中,大多数患者(88%)年龄≤5 岁或>60 岁。所有住院患者至少有一种合并症,而 50%的患者有多种合并症。所有住院患者都接受了各种医疗干预,如重症监护(44%)、机械通气(41%)、血液透析(25%)、 Foley 导管插入术(13%)和中心静脉置管(6%)。大多数患者(81%)住院时间超过两周。 对米诺环素(97%)、复方磺胺甲噁唑(93%)和左氧氟沙星(92%)的敏感性较高;头孢他啶的敏感性最低(50%)。

结论

被发现是一种重要的医院获得性机会性病原体。长时间住院和接受各种医疗干预是导致感染发生的关键因素。米诺环素和头孢他啶分别是最敏感和最不敏感的药物。