Emergence of Stenotrophomonas Maltophilia Sepsis - A Case Series and Review of Literature

  • Dona Susan Mathew Sree Gokulam Medical College and Research Foundation, Trivandrum- 695607, India
  • Ganga Raju Sree Gokulam Medical College and Research Foundation, Trivandrum
  • Ivy Vishvamohanan Sree Gokulam Medical College and Research Foundation, Trivandrum- 695607, India
  • Ashish Jitendranath Sree Gokulam Medical College and Research Foundation, Trivandrum- 695607, India
  • Ramani Bai Sree Gokulam Medical College and Research Foundation, Trivandrum- 695607, India
Keywords: SMB, Stenotrophomonas maltophilia, Nosocomial pathogen

Abstract

Stenotrophomonas maltophilia is an emerging nosocomial pathogen that causes fatal infections in critically ill or immunocompromised patients. S.maltophilia bacteremia (SMB) is a rare condition and is assosciated with morbidity and mortality, and its optimal management remains ill defined. The aim of the current study is to review the management of S.maltophilia bacteremia1.
We described five cases of S.maltophilia bacteremia in immunocompromised patients over a period of 6 months from September 2019 to February 2020. In the current review, a few cases had undergone surgical intervention prior to the onset of bacteremia. Prolonged antibiotic therapy (eg carbapenam), healthcare exposure , and prior surgical procedures were the major risk factors associatd with S. maltophilia infection in healthcare settings. Optimal therapy is based on antimicrobial sensitivity , and the trimethoprim-sulfamethoxazole based combination has been shown to be successful.

Author Biographies

Dona Susan Mathew, Sree Gokulam Medical College and Research Foundation, Trivandrum- 695607, India

Department of Microbiology

Ganga Raju, Sree Gokulam Medical College and Research Foundation, Trivandrum

Department of Microbiology

Ivy Vishvamohanan, Sree Gokulam Medical College and Research Foundation, Trivandrum- 695607, India

Department of Microbiology

Ashish Jitendranath, Sree Gokulam Medical College and Research Foundation, Trivandrum- 695607, India

Department of Microbiology

Ramani Bai, Sree Gokulam Medical College and Research Foundation, Trivandrum- 695607, India

Department of Microbiology

Published
2021-03-26
How to Cite
Mathew, D., Raju, G., Vishvamohanan, I., Jitendranath, A., & Bai, R. (2021). Emergence of Stenotrophomonas Maltophilia Sepsis - A Case Series and Review of Literature. IMA Kerala Medical Journal, 14(1), 18-20. Retrieved from https://www.keralamedicaljournal.com/index.php/KMJ/article/view/602