title: An epidemiological analysis of Stenotrophomonas maltophilia strains in a university hospital.
abstract: The aim of this investigation was to evaluate the epidemiology of Stenotrophomonas maltophilia in a university hospital of Turkey. From June 2000 to December 2001, S. maltophilia strains were collected, clinical presentations were noted, and MIC determinations were performed by means of E-test. Enterobacterial repetitive intergenic consensus sequences-PCR (ERIC-PCR) was used for molecular typing of the strains. Forty-four strains of S. maltophilia were isolated from 41 hospitalized patients in a teaching hospital. The majority of specimens were from the blood and respiratory tract. Antimicrobial sensitivities of these strains were as follows: 97.7 % trimethoprim-sulfamethoxazole, 15.9% ticarcillin, and 95.4% ticarcillin- clavulanate. The strains were evaluated using the ERIC-PCR method. It was of interest to note that epidemiological typing revealed three small outbreaks that were caused by a total of 12 strains. The remaining isolates generated singular DNA patterns. DNA amplification was possible in 38 isolates and yielded 26 different patterns in a period of 20 months, leading to the suggestion that commensal bacteria becomes selected in the presence of a suitable host.
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Karadeniz Technical University School of Medicine, Trabzon 61080, Turkey. rahmetcaylan@yahoo.com
authors.forename: Rahmet
authors.initials: R
authors.lastname: Caylan
authors.forename: Nese
authors.initials: N
authors.lastname: Kaklikkaya
authors.forename: Kemalettin
authors.initials: K
authors.lastname: Aydin
authors.forename: Faruk
authors.initials: F
authors.lastname: Aydin
authors.forename: Gurdal
authors.initials: G
authors.lastname: Yilmaz
authors.forename: Birol
authors.initials: B
authors.lastname: Ozgumus
authors.forename: Iftihar
authors.initials: I
authors.lastname: Koksal
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D015373:Bacterial Typing Techniques; D002648:Child; D002675:Child, Preschool; D003428:Cross Infection / Q000453:epidemiology / Q000382:microbiology*; D017931:DNA Primers; D004269:DNA, Bacterial / Q000032:analysis / Q000235:genetics / Q000302:isolation & purification; D024881:Drug Resistance, Bacterial; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology*; D006785:Hospitals, University; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D017720:Molecular Epidemiology; D016133:Polymerase Chain Reaction / Q000379:methods; D020615:Stenotrophomonas maltophilia / Q000145:classification* / Q000235:genetics / Q000254:growth & development / Q000302:isolation & purification; D014421:Turkey
chemical_list: D000900:Anti-Bacterial Agents; D017931:DNA Primers; D004269:DNA, Bacterial