title: Stenotrophomonas maltophilia endophthalmitis caused by surgical equipment contamination: an emerging nosocomial infection.
abstract: OBJECTIVE
  We report three cases of Stenotrophomonas maltophilia endophthalmitis after uneventful extracapsular cataract extraction with intraocular lens implantation-related to surgical equipment contamination.
  
  
  METHODS
  All patients developed acute, culture-positive endophthalmitis in a period ranging from 2 to 13 days. Cultures from vitreous tap, as well as those obtained from the hand-piece of the irrigation-aspiration system, revealed S. maltophilia as the causing infectious agent. All patients received intravitreal antibiotic treatment as initial therapy, nevertheless, visual disturbance continued to be present, hence pars plana vitrectomy was required.
  
  
  CONCLUSIONS
  Contamination of surgical-reusable equipment should be considered in addition to the well-known risk factors associated with development of endophthalmitis by S. maltophilia.
authors: Romagosa Private Eye Center - VER Foundation, Cordoba, Argentina.
authors: Maria A
authors: MA
authors: Williams
authors: Romagosa Private Eye Center - VER Foundation, Cordoba, Argentina.
authors: Ana L
authors: AL
authors: Gramajo
authors: Romagosa Private Eye Center - VER Foundation, Cordoba, Argentina.
authors: Gustavo A
authors: GA
authors: Colombres
authors: Department of Infectology, Private Hospital of Cordoba, Cordoba, Argentina.
authors: Juan P
authors: JP
authors: Caeiro
authors: Romagosa Private Eye Center - VER Foundation, Cordoba, Argentina.
authors: Claudio P
authors: CP
authors: Juárez
authors: Romagosa Private Eye Center - VER Foundation, Cordoba, Argentina.
authors: José D
authors: JD
authors: Luna
keywords: Exogenous Endophthalmitis; Stenotrophomonas Maltophilia; Surgical Equipment Contamination