Department of Respiratory Medicine, Faculty of Medicine, Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, Health Sciences University, Ankara, Turkey.
Department of Respiratory Medicine, Faculty of Medicine, Alanya Alaaddin Keykubat University, Antalya, Turkey.
Medicine (Baltimore). 2022 Dec 2;101(48):e32145. doi: 10.1097/MD.0000000000032145.
Pseudomonas putida rarely results in infection, primarily in patients undergoing invasive procedures or immunocompromised hosts. We aimed to investigate the characteristics of Pseudomonas putida infections. This is a retrospectively designed cross-sectional observational study. We retrospectively scanned the data from our hospital for the 10 years before February 15, 2022. The patients with Pseudomonas putida growth in the microbiological cultures and with antibiotic susceptibility tests were included in the study. We recorded culture isolates types, age, gender, comorbidities, immunosuppressive factors, symptoms, invasive medical procedures, length of hospital stay, and radiological findings. The mean age of the patients was 66.2 ± 14.5 years, and the male patients predominated (76.3%, n = 58/76). There was growth in bronchial lavage in 33 patients, sputum in 28, pleural effusion fluid in 12, and tracheal aspirate in 3 patients. The rate of antibiotic-resistant strains was 56.6% (n = 43). All strains were sensitive to colistin (100%), and carbapenem, amikacin, and gentamicin sensitivity rates were high. We observed that the risk of antibiotic resistance increased 4.29 times in the patients in the intensive care unit (Cl:1.27-14.47, P = .01). The patients with Diabetes Mellitus had a higher risk (OR 4.33, Cl:1.11-16.77, P = .03), and in cancer cases, the risk was 3.31 times higher (Cl:1.06-10.32, P = .03). The risk of Pseudomonas putida infection should be considered, particularly in patients with comorbid disorders causing immunosuppression, including Diabetes Mellitus and Cancer.
铜绿假单胞菌很少引起感染,主要发生于接受有创性操作或免疫功能低下的宿主。本研究旨在探讨铜绿假单胞菌感染的特征。这是一项回顾性设计的横断面观察性研究。我们回顾性地扫描了 2022 年 2 月 15 日前我院 10 年来的数据。将微生物培养中生长铜绿假单胞菌且进行抗生素药敏试验的患者纳入研究。我们记录了培养分离株类型、年龄、性别、合并症、免疫抑制因素、症状、有创性医疗操作、住院时间和影像学表现。患者的平均年龄为 66.2±14.5 岁,男性占多数(76.3%,n=58/76)。33 例患者支气管灌洗液生长,28 例患者痰液生长,12 例患者胸腔积液生长,3 例患者气管抽吸物生长。耐药菌株的发生率为 56.6%(n=43)。所有菌株对黏菌素(100%)敏感,对碳青霉烯类、阿米卡星和庆大霉素的敏感性较高。我们发现,入住重症监护病房的患者发生抗生素耐药的风险增加了 4.29 倍(Cl:1.27-14.47,P=0.01)。患有糖尿病的患者风险更高(OR 4.33,Cl:1.11-16.77,P=0.03),而癌症患者的风险则增加了 3.31 倍(Cl:1.06-10.32,P=0.03)。应考虑铜绿假单胞菌感染的风险,尤其是在患有导致免疫抑制的合并症(包括糖尿病和癌症)的患者中。