Testing new waters in management of Stenotrophomonas maltophilia blood stream infection in a post cardiac surgery patient.

Autor: Rajni E; Department of Microbiology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India. Electronic address: ravajni@yahoo.co.in., Sharma A; Department of Cardiothoracic and Vascular Surgery(CTVS), Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India. Electronic address: drashish.sharma69@gmail.com., Goyal K; Department of Microbiology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India. Electronic address: kritigoyal03110@gmail.com., Gupta D; Department of Critical Care Medicine, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India. Electronic address: divyanshgupta1986@gmail.com.
Jazyk: angličtina
Zdroj: Indian journal of medical microbiology [Indian J Med Microbiol] 2024 Nov-Dec; Vol. 52, pp. 100746. Date of Electronic Publication: 2024 Nov 04.
DOI: 10.1016/j.ijmmb.2024.100746
Abstrakt: Hospital acquired infections are the most common non-cardiac complications after cardiac surgery. Organisms commonly found in this cohort of patients include Klebsiella spp, Escherichia coli, Pseudomonas spp, Staphylococcus aureus, Coagulase negative Staphylococcus and Enterococcus spp etc. We hereby present a case of post cardiac surgery patient presenting with Stenotrophomonas maltophilia bloodstream infection. Combination of ceftazidime-avibactam (CZA) and aztreonam(AT) was used as inactivity was exhibited to primary panel of drugs. Broth disc elution testing was done to exhibit synergy between CZA and AT. This case highlights the growing need for active interaction between the treating physician and the microbiologist.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Indian Association of Medical Microbiologists. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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