实用医学杂志2013，Vol.29Issue(10)：1629-1631,3.DOI:10.3969/j.issn.1006-5725.2013.10.034
免疫缺陷患者嗜麦芽寡养单胞菌败血症9例
Clinical analysis of 9 patients with Stenotrophomonas maltophilia septicemia and hematonosis
摘要
Abstract
Objective To investigate the clinical characteristics,therapy and outcome of Stenotrophomonas maltophilia (S.maltophilia) septicemia in 9 patients with hematonosis.Methods Clinical data of 9 patients with hematonosis combined with S.maltophilia septicemia were retrospectively analyzed.Results All patients had a history of long-term use of extended-spectrum β lactamases and quinolones,89％ of patients had indwelling venous catheterization.S.maltophilia was resistant to many commonly used antimicrobial agents,but was marginally sensitive to cotrimoxazole,levofloxacin and minocycline.The efficiency of empirical treatment was lower and that of pertinency treatment (33.3％ vs.77.7％).Clinical treating results were inconsistent with the sensitivity testing results in vitro.Conclusion It is likely to prevent S.maltophilia septicemia by shortening the duration of the lacks of neutrophils and indwelling venous catheterization,pertinency treatment can partially increase the efficiency,empirical treatment with combination drugs may also work.关键词
败血症/嗜麦芽寡养单胞菌/血液病Key words
Septicemia/Stenotrophomouas mahophilia/Hematology引用本文复制引用
周兰兰,孟凡义,王治香..免疫缺陷患者嗜麦芽寡养单胞菌败血症9例[J].实用医学杂志,2013,29(10):1629-1631,3.
