Ventilator Associated Pneumonia in an Infant Caused by Stenotrophomonas maltophila – A Case Report
Published: September 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/19822.8411
Neelima Angaali, Nina Dutta Roy, Sudharshan Raj Chitgupikar, Preeti Subramanian, Jaya Lakshmi Pabbati
1. Associate Professor, Department of Microbiology, MediCiti Institute of Medical Sciences (MIMS), Hyderabad, Telangana, India.
2. Head of Department, Department of Microbiology, Pathcare Labs, Hyderabad, Telangana, India.
3. Associate Professor, Department of Pediatrics, MIMS, Hyderabad, Telangana, India.
4. Assistant Professor, Department of Pediatrics, MIMS, Hyderabad, Telangana, India.
5. Assistant Professor, Department of Pediatrics, MIMS, Hyderabad, Telangana, India.
Correspondence
Dr. Neelima Angaali,
H.No.-3-6-536, Raja Residency, Flat-201, Street-7, Himayat Nagar, Hyderabad-500029, India.
E-mail: neelimasudharshan@gmail.com
Stenotrophomonas maltophila (S.maltophila) is an aerobic Gram-negative bacillus that is a frequent colonizer of fluids used in the hospital setting. The organism is known to cause life threatening infections in immuno-compromised patients especially in those who are neutropenic, on chemotherapy or on broad spectrum antibiotics. We report a case of ventilator associated pneumonia caused by Stenotrophomonas maltophila in a two-month old infant who later developed multi organ dysfunction syndrome. In seriously ill paediatric patients, S.maltophila should also be considered as a possible pathogen for Ventilator-Associated Pneumonia (VAP), hence empiric antibiotic choice should include antimicrobials that are active against S. maltophila. An early identification and treatment of VAP with Multi-Drug Resistant (MDR) strains with appropriate antibiotics has a significant impact on morbidity and mortality.
[
FULL TEXT ] | [ PDF]