Chinese Journal of Nosocomiology 2006;0(12):-

Stenotrophomonas maltophilia Pneumonia:An Analysis of Clinical Features and Antibiotic Susceptibility of 31 Cases

Yan GONG

Keywords

Stenotrophomonas maltophilia; Pneumonia; Drug susceptibility

Country

China

Language

Chinese

Abstract

OBJECTIVE To analyze and summarize the clinical features and distribution of antibiotic susceptibility of Stenotrophomonas maltophilia pneumonia.METHODS We statistically analyzed the clinical data of thirty-one cases of S.maltophilia pneumonia,and determined drug susceptibility of this bacteriaum,using K-B methods.RESULTS Twenty-six out of 31(83.87%) cases were old age patients.All Patients were with underlying diseases,while 17(54.84%)cases had chronic obstructive pulmonary disease history and 15(43.39%) cases were with immunodeficiency.Out-of hospital infection and nosocomial infection were 10(32.26%) cases and 21(67.74%),respectively.The clinical symptoms were mainly cough and expectoration(100.00%),17(54.84%) cases had fever,and 24 cases(77.42%) had dyspnea.Chest X-ray showed different-degree shadow on lungs.Besides compound sulfamethoxazole,ciprofloxacin,minocycline and amikacin were susceptive(71.41-45.00%),the drug susceptibility test showed,that the microbe was resistant to lots of antibiotics(28.57-100.00%).CONCLUSIONS The risk factors of S.maltophilia pneumonia are ageing,underlying diseases and immunodeficiency.Early choosing susceptive antibiotics and drug sensitivity test would improve the prognosis.