Stenotrophomonas maltophilia bacteraemia in cancer patients: report on 31 cases

Spencer in one of last issues of the Journal of Hospital Infection focused on the emergence of Stenotrophomonas (formerly Xanthomonas) maltophilia as a cause of infection in severely immunocompromised patients. According to this interesting review more than 90% of infections are nosocomial including...

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Published inThe Journal of hospital infection Vol. 34; no. 1; pp. 75 - 77
Main Authors Krcmery, V., Pichna, P., Oravcova, E., Lacka, J., Kukuckova, E., Studena, M., Grausova, S., Stopkova, K., Krupova, I.
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.09.1996
Subjects
Bacteremia - etiology
Bacteremia - microbiology
Cross Infection - etiology
Cross Infection - microbiology
Female
Humans
Immunocompromised Host
Male
Neoplasms - complications
Pseudomonas Infections - etiology
Slovakia
Stenotrophomonas maltophilia
Xanthomonas
Xanthomonas maltophilia
Slovakia
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Summary:Spencer in one of last issues of the Journal of Hospital Infection focused on the emergence of Stenotrophomonas (formerly Xanthomonas) maltophilia as a cause of infection in severely immunocompromised patients. According to this interesting review more than 90% of infections are nosocomial including bloodstream and respiratory tract infections (ventilator-associated pneumonia and infection in cystic fibrosis), skin and soft tissue infections (such as diabetic foot infections and postoperative wound infections), catheter-associated urinary tract infections and infections after neurosurgery. The pathogenicity of S. maltophilia alone was unclear. When infections occur in a setting of life-threatening underlying disease and autopsy rates are low, it may be difficult to determine whether S. maltophilia infection was the cause of death or simply a concurrent phenomenon. We would like to add some data on S. maltophilia bacteraemia in cancer patients. A retrospective review was carried out of S. maltophilia bacteraemia occurring in hospitalized patients in the National Cancer Institute in Bratislava during the six years, 1989-1994, studying risk factors, relationship to previous antimicrobial chemotherapy, clinical findings and outcome, and the antimicrobial susceptibility of the isolates.
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ISSN:0195-6701
1532-2939
DOI:10.1016/S0195-6701(96)90129-2