In which cases of pneumonia should we consider treatments for Stenotrophomonas maltophilia?

نویسندگان

چکیده

Background Stenotrophomonas maltophilia is a pathogen commonly associated with respiratory infection. However, the characteristics of pneumonia caused by S. remain unknown. Aim To evaluate and risk factors for pneumonia. Methods A retrospective evaluation was undertaken 2002 patients sputum cultures positive between January 2010 December 2019. Cases were excluded based on clinical information laboratory results. Included cases divided into two groups: group (patients maltophilia) non-S. pathogens other than maltophilia). Patient characteristics, data Sequential Organ Failure Assessment (SOFA) scores compared groups. Findings Eight 91 assigned to groups, respectively. The median age significantly lower in (63.4 vs 73.1 years; P<0.01), SOFA score higher (7.5 3.0; P<0.01). Underlying malignancy pre-administration antipseudomonal ?-lactams steroids confirmed seven eight group, suggesting an association immunosuppression. Conclusions Pneumonia due rare occurrence. Treatment this should be considered with: (1) predominance cultures; (2) broad-spectrum antibiotics; (3) immunodeficiency; (4) high score.

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ژورنال

عنوان ژورنال: Journal of Hospital Infection

سال: 2021

ISSN: ['0195-6701', '1532-2939']

DOI: https://doi.org/10.1016/j.jhin.2021.01.011