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Titolo:
Nonrespiratory Stenotrophomonas maltophilia infection at a children's hospital
Autore:
Sattler, CA; Mason, EO; Kaplan, SL;
Indirizzi:
Texas Childrens Hosp, Infect Dis Lab, Houston, TX 77030 USA Texas Childrens Hosp Houston TX USA 77030 Dis Lab, Houston, TX 77030 USA Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA Baylor Coll Med Houston TX USA 77030 , Dept Pediat, Houston, TX 77030 USA Baylor Coll Med, Dept Mol Virol & Microbiol, Houston, TX 77030 USA Baylor Coll Med Houston TX USA 77030 l & Microbiol, Houston, TX 77030 USA
Titolo Testata:
CLINICAL INFECTIOUS DISEASES
fascicolo: 6, volume: 31, anno: 2000,
pagine: 1321 - 1330
SICI:
1058-4838(200012)31:6<1321:NSMIAA>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
LACTAMASE INHIBITOR COMBINATIONS; CYSTIC-FIBROSIS PATIENTS; POSITIVE BLOOD CULTURES; GRAM-NEGATIVE BACILLI; XANTHOMONAS-MALTOPHILIA; PSEUDOMONAS-MALTOPHILIA; ANTIBIOTIC SUSCEPTIBILITY; NOSOCOMIAL INFECTIONS; CLINICAL-SIGNIFICANCE; RISK-FACTORS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
80
Recensione:
Indirizzi per estratti:
Indirizzo: Kaplan, SL Texas Childrens Hosp, Infect Dis Lab, Mail Code 3-2371,6621 Fannin St, Houston, TX 77030 USA Texas Childrens Hosp Mail Code 3-2371,6621 Fannin St Houston TX USA 77030
Citazione:
C.A. Sattler et al., "Nonrespiratory Stenotrophomonas maltophilia infection at a children's hospital", CLIN INF D, 31(6), 2000, pp. 1321-1330

Abstract

To describe Stenotrophomonas maltophilia infection in children, we reviewed the medical records of patients with isolates from nonrespiratory sites and identified 85 episodes, 51 (60%) of which represented true infection. Forty-two episodes (82.4%) were hospital acquired. Commonly associated with S. maltophilia infection were underlying illness (in 90.2% of cases), previous hospitalizations (in 78.7%), previous antibiotic exposure (in 78.4%), and the presence of a central venous catheter (in 76.5%). Polymicrobial isolates were obtained in 70.6% of episodes; Pseudomonas aeruginosa and Acinetobacter species were the most common coisolates. Bloodstream infection was the most frequent clinical syndrome (32 [63%] of 51 episodes). Fever or sepsis occurred in 22 (69%) and shock in 10 (31%) of 32 episodes. Infection at other sites was less severe. The most active antibiotics in vitro were trimethoprim-sulfamethoxazole and ticarcillin-clavulanate. The overall and attributable mortality rates were 12.5% and 6.3%, respectively. S. maltophilia appears to be an important cause of nosocomially acquired bacteremia in children. The significance in children of isolation from other sites is less clear.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/07/20 alle ore 13:26:49