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Indian Journal of Microbiology Research


BACTEREMIA DUE TO STENOTROPHOMONAS MALTOPHILIA – A SERIES OF THREE CASES


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Author Details: Ranjana Hawaldar, Sadhna Sodani

Volume : 2

Issue : 2

Online ISSN : 2394-5478

Print ISSN : 2394-546X

Article First Page : 128

Article End Page : 132


Abstract

Bacteremia due to Stenotrophomonas maltophilia – a series of three cases. Stenotrophomonas maltophilia is an aerobic ubiquitous gram-negative bacillus that has been isolated from humans, animals, soil, food, and pharmaceuticals. Because of its limited invasiveness and low level of pathogenicity, it is rarely responsible for community-acquired serious infections. In recent years, S. maltophilia has been increasingly reported as a cause of life-threatening infections, in particular in immune compromised patients. Antimicrobial pressure, indwelling venous catheterization, long-term hospitalization, aggressive. Cytoreductive treatments for malignancy and neutropenia seem to be contributory factors. Management is problematic because of resistance to commonly used antibiotics including those of carbapenem class. In vitro susceptibility testing specific guidelines are not available for management. The development of rapid, inexpensive and reproducible culture systems such as Vitek II has made possible the recognition of this as a cause of bacteremia. In particular more information on nosocomial reservoirs and routes of transmission of the bacterium is needed for effective infection control strategies. Here we report a series of three cases of Stenotrophomonas maltophilia bacteremia from patients admitted in a paediatric ICU.


Key Words: Stenotrophomonas maltophilia, Bacteremia, Nosocomial infection

Doi No:-10.18231