title: Ventilator Associated Pneumonia in an Infant Caused byStenotrophomonas maltophila- A Case Report.
abstract: Stenotrophomonas maltophila(S.maltophila) is an aerobic Gram-negative bacillus that is a frequent colonizer of fluids used in the hospital setting. The organism is known to cause life threatening infections in immuno-compromised patients especially in those who are neutropenic, on chemotherapy or on broad spectrum antibiotics. We report a case of ventilator associated pneumonia caused byStenotrophomonas maltophilain a two-month old infant who later developed multi organ dysfunction syndrome. In seriously ill paediatric patients,S.maltophilashould also be considered as a possible pathogen for Ventilator-Associated Pneumonia (VAP), hence empiric antibiotic choice should include antimicrobials that are active againstS. maltophila. An early identification and treatment of VAP with Multi-Drug Resistant (MDR) strains with appropriate antibiotics has a significant impact on morbidity and mortality.
authors: Associate Professor, Department of Microbiology, MediCiti Institute of Medical Sciences (MIMS) , Hyderabad, Telangana, India .
authors: Neelima
authors: N
authors: Angaali
authors: Head of Department, Department of Microbiology, Pathcare Labs , Hyderabad, Telangana, India .
authors: Nina Dutta
authors: ND
authors: Roy
authors: Associate Professor, Department of Pediatrics, MIMS , Hyderabad, Telangana, India .
authors: Sudharshan Raj
authors: SR
authors: Chitgupikar
authors: Assistant Professor, Department of Pediatrics, MIMS , Hyderabad, Telangana, India .
authors: Preeti
authors: P
authors: Subramanian
authors: Assistant Professor, Department of Pediatrics, MIMS , Hyderabad, Telangana, India .
authors: Jaya Lakshmi
authors: JL
authors: Pabbati
keywords: Cefotaxime; Endo Tracheal Aspirate; Hypotension; Multi Drug Resistant Strains