Ventilator-associated pneumonia with Col-S strains: a successful comeback of colistin!
Braz. j. infect. dis
; 12(5): 444-446, Oct. 2008. ilus
Article
em En
| LILACS
| ID: lil-505361
Biblioteca responsável:
BR1.1
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.
Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Infecções por Pseudomonas
/
Infecções por Acinetobacter
/
Colistina
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Pneumonia Associada à Ventilação Mecânica
/
Antibacterianos
Tipo de estudo:
Diagnostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Humans
/
Male
Idioma:
En
Revista:
Braz. j. infect. dis
Assunto da revista:
DOENCAS TRANSMISSIVEIS
Ano de publicação:
2008
Tipo de documento:
Article