publication . Article . 2014

An outbreak of trimethoprim/sulfamethoxazole-resistant Stenotrophomonas maltophilia meningitis associated with neuroendoscopy

Ning-Chi Wang; Shih-Wei Hsu; Tung-Han Tsai; Ching-Hsun Wang;
Open Access English
  • Published: 01 Jan 2014 Journal: Journal of Medical Sciences (issn: 1011-4564, Copyright policy)
  • Publisher: Wolters Kluwer Medknow Publications
Abstract
Stereotactic aspiration by neuroendoscopy for treatment of deep-seated intracranial hematomas is widely accepted because this procedure is minimally invasive and thereby reduces the probability of iatrogenic brain damage. Herein, we describe an outbreak of trimethoprim/sulfamethoxazole (TMP/SXT)-resistant "Stenotrophomonas maltophilia" meningitis, possibly from a contaminated neuroendoscopy, and review the previous use of antimicrobial therapies for this condition without TMP/SXT. This is the first reported outbreak of TMP/SXT-resistant "S. maltophilia" meningitis. The discussion emphasizes the importance of adequate disinfection processes before and after endos...
Subjects
Medical Subject Headings: bacterial infections and mycoseshuman activitiesurologic and male genital diseases
free text keywords: Trimethoprim/sulfamethoxazole resistance, meningitis, Stenotrophomonas maltophilia, neuroendoscopy, Medicine, R, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9, General Medicine, Antimicrobial, Endoscopic neurosurgery, Sulfamethoxazole, medicine.drug, Intensive care medicine, medicine.medical_specialty, biology.organism_classification, biology, business.industry, business, medicine.disease, Trimethoprim, Outbreak
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