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Epidemiology and outcomes of Stenotrophomonas maltophilia and Burkholderia cepacia infections among trauma patients of India: a five year experience.
- Source :
- Journal of Infection Prevention; May2015, Vol. 16 Issue 3, p103-110, 8p
- Publication Year :
- 2015
-
Abstract
- Background: Infections by uncommon non-fermenting Gram negative bacteria are on the rise, but little is known about the risk factors and drug resistance in trauma patients in India. This study explored the infections caused by Stenotrophomonas maltophilia and/or Burkholderia cepacia in trauma patients over a period of 5 years. Material and methods: Patients admitted for trauma care with S. maltophilia and/or B. cepacia isolated from clinical specimens were enrolled. Characteristics regarding the strain isolation, drug sensitivity pattern, multidrug resistance (MDR), patient, outcomes, and differentiation of true infection from colonisation were observed. Results: Of the total 233 isolates, 102 were S. maltophilia and 131 were B. cepacia; 4.3% were responsible for polymicrobial infections with other bacteria. There were more B. cepacia MDR isolates than S. maltophilia. Maximum resistance was found to tetracycline (86.7%) and tobramycin (86.7%) in B. cepacia and to co-trimoxazole (68.7%) in S. maltophilia. Of these, 21 (16.03%) had a fatal outcome and the remaining 111 (84.7%) were discharged healthy. The in-hospital mortality rate associated with B. cepacia was much (16%) higher than S. maltophilia (13%) at this centre. Conclusion: The analysis of epidemiology and outcome of these infections will help to inform their management and treatment. [ABSTRACT FROM AUTHOR]
- Subjects :
- ACADEMIC medical centers
BLOOD testing
CHI-squared test
FISHER exact test
GRAM-negative bacterial diseases
LONGITUDINAL method
PUBLIC health surveillance
T-test (Statistics)
WOUNDS & injuries
TREATMENT effectiveness
RETROSPECTIVE studies
BURKHOLDERIA infections
DATA analysis software
DESCRIPTIVE statistics
PREVENTION
Subjects
Details
- Language :
- English
- ISSN :
- 17571774
- Volume :
- 16
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Journal of Infection Prevention
- Publication Type :
- Academic Journal
- Accession number :
- 103004629
- Full Text :
- https://doi.org/10.1177/1757177414558437