Ventilator-associated pneumonia with Col-S strains: a successful comeback of colistin!
Braz. j. infect. dis
;
12(5): 444-446, Oct. 2008. ilus
Article
Dans Anglais
| LILACS
| ID: lil-505361
ABSTRACT
Emergence of multi and pan-drug resistant Gram-negative bacteria causing nosocomial infections in intensive care settings has become a challenge for clinicians. The mortality rate of ventilator-associated pneumonia (VAP) is known to increase when the initial microbiological diagnosis and antimicrobial therapy are inappropriate. We present a case of a 18-year-old man, who after being admitted following an accident, had developed VAP due to multi-drug resistant Pseudomonas aeruginosa and Acinetobacter spp. and had a downhill clinical course despite broad-spectrum antibiotic treatment. The strains were found to be Col-S, as the susceptibility was tested. Colistin was instituted, with remarkable recovery. It is imperative to diagnose VAP with multi-drug resistant strains as early as possible; colistin, the 'last resort' antibiotic, if instituted with proper monitoring at the right time, can be life saving.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Infections à Pseudomonas
/
Infections à Acinetobacter
/
Colistine
/
Pneumopathie infectieuse sous ventilation assistée
/
Antibactériens
Type d'étude:
Etude diagnostique
/
Facteurs de risque
Limites du sujet:
Adolescent
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Braz. j. infect. dis
Thème du journal:
Maladies transmissibles
Année:
2008
Type:
Article
Pays d'affiliation:
Inde
Institution/Pays d'affiliation:
Kasturba Medical College/IN
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS