Uncommon non-fermenting Gram-negative bacillary bacteraemia in ICU patients

Saran, Sai; Gurjar, Mohan; Garg, Atul; Sahu, Chinmoy; Bhaskar, Bhanuprakash; Mishra, Prabhaker; Azim, Afzal; Poddar, Banani; Baronia, Arvind Kumar

doi:10.1080/23744235.2020.1716991

Cited by 2 publications

(3 citation statements)

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“…A study on the bacterial aetiology of ICU BSIs from an Indian hospital reported, apart from A. baumannii or P. aeruginosa, isolation of uncommon NFGNB species in some cases, such as of B. cepacia , Chryseobacterium spp., Sphingomonas spp., Ralstonia spp., Elizabethkingia spp. and S. maltophilia [20]. The vast majority (93%) of these patients were in septic shock and the case fatality was 53% [20].…”

Section: Text Of Reviewmentioning

confidence: 96%

“…and S. maltophilia [20]. The vast majority (93%) of these patients were in septic shock and the case fatality was 53% [20]. Studies from Korea, Japan, and USA suggested S. maltophilia as the third leading NFGNB after A. baumannii and P. aeruginosa in BSIs, while a Turkish study reported several additional NFGNB, such as Achromobacter , B. cepacia , Chryseobacterium spp., Sphingomonas spp.…”

Section: Text Of Reviewmentioning

confidence: 99%

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Current viewpoint on the epidemiology of nonfermenting Gram-negative bacterial strains

Koulenti,

Vandana,

Rello

2023

Current Opinion in Infectious Diseases

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Purpose of review This article aims to review the epidemiology of nonfermenting Gram-negative bacilli (NFGNB) based on recent literature reports, particularly, of the less common, but with emerging clinical significance species. Recent findings The reported frequency of multidrug-resistant Acinetobacter baumannii and Pseudomonas aeruginosa is increasing, with very significant variability, however, between different countries. Apart from the major NFGNB, that is, A. baumannii and P. aeruginosa, already recognized as of critical importance healthcare risks, several other NFGNB genera have been increasingly associated with diverse severe infections, such as Stenotrophomonas maltophilia, Burkholderia spp., Elizabethkingia spp., Chryseobacterium spp., Achromobacter spp., Alcaligenes spp., Sphingomonas spp., Shewanella spp. and Ralstonia spp., among others. Summary The exploration of the epidemiology, as well as the pathogenic potential of the of the less frequent, but emerging and increasingly reported NFGNB, is crucial, not only for immunocompromised patients, but also for critically ill patients without overt immunosuppression. As we are heading fast towards a postantibiotic era, such information would contribute to the optimal antimicrobial management, that is, providing prompt, appropriate antimicrobial coverage when needed and, at the same time, avoiding overuse and/or inappropriate use of antimicrobial therapy. Also, it would help to better understand their transmission dynamics and to develop effective prevention strategies.

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Section: Text Of Reviewmentioning

confidence: 96%

Section: Text Of Reviewmentioning

confidence: 99%

Current viewpoint on the epidemiology of nonfermenting Gram-negative bacterial strains

Koulenti,

Vandana,

Rello

2023

Current Opinion in Infectious Diseases

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“…В ходе проведенного исследования у 11 % больных ВИЧ-инфекцией, получающих АРТ, на слизистой ротоглотки был зафиксирован рост неферментирующих бактерий (Acinetobacter, Pseudomonas aeruginosa, Chryseobacterium spp.) -основного этиологического фактора нозокомиального инфицирования и рецидивирующего течения инфекций средних и нижних дыхательных путей при вторичной иммуносупрессии [10,11]. С другой стороны, выделенные с той же частотой у наблюдавшихся пациентов бактерии семейства энтеробактерий (роды Escherichia, Klebsiella) Enterococcus spp., а также β-гемолитических стрептококков могут вызывать, как известно, острые и хронические воспалительные заболевания, в том числе в условиях отделений интенсивной терапии [11,12].…”

Section: оригинальные исследованияunclassified

Assessment of the state of the microbial flora of the oropharynx and the level of endotoxemia in patients with HIV infection

Суладзе¹,

Tverdokhlebova²,

Matuzkova³

et al. 2021

Medical news of the North Caucasus

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Проведена оценка состава микрофлоры слизистой ротоглотки и биохимических маркеров эндотоксемии с определением содержания LPS-Р в крови у 100 BИЧ-позитивных пациентов, получавших антиретровирусную терапию. Выявлена интенсивная колонизация слизистой ротоглотки условно-патогенной микробной флорой в высоких количественных титрах и более чем 14-кратное превышение уровня LPS-Р. Добавление к терапии на 4 недели аминодигидрофталазиндион натрия («Галавит») обеспечило достоверное снижение концентрации LPS-Р в крови и нормализацию микробного состава слизистой ротоглотки у большинства пациентов с ВИЧ.

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Uncommon non-fermenting Gram-negative bacillary bacteraemia in ICU patients

Cited by 2 publications

References 10 publications

Current viewpoint on the epidemiology of nonfermenting Gram-negative bacterial strains

Current viewpoint on the epidemiology of nonfermenting Gram-negative bacterial strains

Assessment of the state of the microbial flora of the oropharynx and the level of endotoxemia in patients with HIV infection

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