A case series and literature review of infections due to spp.: identification of contributing factors and emerging antibiotic susceptibility trends.

INTRODUCTION

Infections forby spp. can lead to significant morbidity and mortality, particularly in immunocompromised patients with underlying co-morbidities. Recent reports have highlighted its intrinsic and acquired drug resistance, making it a particularly challenging infectious agent to combat.

METHODS

spp. isolated and reported in clinically significant urine samples were considered for the study. Identification of the organism was done via the VITEK 2C system. Antibiotic susceptibility testing was done using both manual and automated methods following Clinical and Laboratory Standards Institute (CLSI) guidelines. Existing literature was searched on MEDLINE using PubMed.

RESULTS

We present a series of five catheter-associated urinary tract infections due to , with sensitivity to only minocycline. This is the first case from Western India, and the third case in the existing literature that shows sensitivity only to minocycline. Our literature review is the first to systematically describe contributory factors to infection, allowing us to devise a clinically relevant tool that delineates contributory factors and efficacious drugs in spp infection.

CONCLUSION

spp infections, previously considered rare and opportunistic, need cognizance and diagnostic suspicion especially in particular associated conditions.