Front Oncol. 2014 Aug 25;4:232. doi: 10.3389/fonc.2014.00232. eCollection 2014.
Infections Caused by Stenotrophomonas maltophilia in Recipients of Hematopoietic Stem Cell Transplantation.
Frontiers in oncology
Khalid Ahmed Al-Anazi, Asma M Al-Jasser
Affiliations
Affiliations
- Section of Adult Hematology and Oncology, Department of Medicine, College of Medicine, King Khalid University Hospital, King Saud University , Riyadh , Saudi Arabia.
- Central Laboratory, Ministry of Health , Riyadh , Saudi Arabia.
PMID: 25202682
PMCID: PMC4142553 DOI: 10.3389/fonc.2014.00232
Abstract
Stenotrophomonas maltophilia (S. maltophilia) is a globally emerging Gram-negative bacillus that is widely spread in environment and hospital equipment. Recently, the incidence of infections caused by this organism has increased, particularly in patients with hematological malignancy and in recipients of hematopoietic stem cell transplantation (HSCT) having neutropenia, mucositis, diarrhea, central venous catheters or graft versus host disease and receiving intensive cytotoxic chemotherapy, immunosuppressive therapy, or broad-spectrum antibiotics. The spectrum of infections in HSCT recipients includes pneumonia, urinary tract and surgical site infection, peritonitis, bacteremia, septic shock, and infection of indwelling medical devices. The organism exhibits intrinsic resistance to many classes of antibiotics including carbapenems, aminoglycosides, most of the third-generation cephalosporins, and other β-lactams. Despite the increasingly reported drug resistance, trimethoprim-sulfamethoxazole is still the drug of choice. However, the organism is still susceptible to ticarcillin-clavulanic acid, tigecycline, fluoroquinolones, polymyxin-B, and rifampicin. Genetic factors play a significant role not only in evolution of drug resistance but also in virulence of the organism. The outcome of patients having S. maltophilia infections can be improved by: using various combinations of novel therapeutic agents and aerosolized aminoglycosides or colistin, prompt administration of in vitro active antibiotics, removal of possible sources of infection such as infected indwelling intravascular catheters, and application of strict infection control measures.
Keywords: Stenotrophomonas maltophilia; bacteremia; drug resistance; hematopoietic stem cell transplantation; neutropenia
References
- Crit Care. 2006;10(5):R143 - PubMed
- J Antimicrob Chemother. 2013 May;68 Suppl 1:i7-22 - PubMed
- J Antimicrob Chemother. 2007 Jun;59(6):1223-9 - PubMed
- Ann Pharmacother. 2010 Oct;44(10):1665-8 - PubMed
- J Clin Microbiol. 2010 Jun;48(6):2030-6 - PubMed
- Biomed Res Int. 2013;2013:723680 - PubMed
- Ann Clin Microbiol Antimicrob. 2006 Sep 18;5:23 - PubMed
- Diagn Microbiol Infect Dis. 2002 Nov;44(3):259-63 - PubMed
- Springerplus. 2013 May 07;2(1):207 - PubMed
- Biomed Pharmacother. 2005 Oct;59(9):511-6 - PubMed
- J Antimicrob Chemother. 2011 May;66(5):1024-8 - PubMed
- J Microbiol Immunol Infect. 2004 Dec;37(6):359-65 - PubMed
- Eur Respir J. 2007 Dec;30(6):1234-5 - PubMed
- Leuk Lymphoma. 2004 Aug;45(8):1637-41 - PubMed
- Front Immunol. 2012 Oct 05;3:309 - PubMed
- Antimicrob Agents Chemother. 2004 Jan;48(1):151-60 - PubMed
- Clin Infect Dis. 2012 Mar 1;54(5):670-80 - PubMed
- Int J Antimicrob Agents. 2011 Mar;37(3):230-4 - PubMed
- Antimicrob Agents Chemother. 2012 Jun;56(6):3080-5 - PubMed
- J Infect Chemother. 2010 Oct;16(5):322-8 - PubMed
- Transpl Infect Dis. 2012 Aug;14(4):355-63 - PubMed
- Kansenshogaku Zasshi. 2013 Sep;87(5):596-602 - PubMed
- Clin Infect Dis. 2000 Sep;31(3):705-11 - PubMed
- Clin Infect Dis. 2000 Jan;30(1):195-7 - PubMed
- Eur J Cancer. 2009 Sep;45(14):2462-72 - PubMed
- Diagn Microbiol Infect Dis. 2008 Feb;60(2):205-10 - PubMed
- Discov Med. 2011 Dec;12(67):461-70 - PubMed
- Bone Marrow Transplant. 2010 Jun;45(6):1109-10 - PubMed
- Pharmacotherapy. 1997 Mar-Apr;17(2):293-301 - PubMed
- Expert Rev Anti Infect Ther. 2014 Jan;12(1):1-4 - PubMed
- J Microbiol Immunol Infect. 2004 Dec;37(6):350-8 - PubMed
- Infect Immun. 2003 Jun;71(6):3068-75 - PubMed
- Ann Intensive Care. 2014 Apr 28;4:13 - PubMed
- Clin Infect Dis. 2001 May 15;32 Suppl 2:S104-13 - PubMed
- J Antimicrob Chemother. 2003 Apr;51(4):803-11 - PubMed
- PLoS One. 2012;7(5):e37375 - PubMed
- Clin Transplant. 2014 Jun;28(6):656-61 - PubMed
- Eur J Clin Microbiol Infect Dis. 2007 Apr;26(4):229-37 - PubMed
- J Infect. 2012 Apr;64(4):391-8 - PubMed
- Int J Infect Dis. 2011 May;15(5):e326-31 - PubMed
- J Antimicrob Chemother. 2001 Jul;48(1):152-4 - PubMed
- J Antimicrob Chemother. 2011 Apr;66(4):834-9 - PubMed
- Korean J Lab Med. 2010 Jun;30(3):295-300 - PubMed
- Clin Infect Dis. 2002 Jun 15;34(12):1653-6 - PubMed
- Expert Rev Anti Infect Ther. 2011 Apr;9(4):471-88 - PubMed
- Bone Marrow Transplant. 2007 Jul;40(1):71-8 - PubMed
- Curr Top Med Chem. 2010;10(18):1848-57 - PubMed
- Blood. 2012 Aug 30;120(9):1791-800 - PubMed
- Antimicrob Agents Chemother. 2014;58(4):2405-8 - PubMed
- J Antimicrob Chemother. 2014 Sep;69(9):2326-36 - PubMed
- Can J Infect Dis Med Microbiol. 2012 Winter;23(4):165-9 - PubMed
- J Hosp Infect. 2008 Oct;70(2):101-8 - PubMed
- J Infect Dis. 2012 Jun;205(11):1709-18 - PubMed
- Recent Pat Antiinfect Drug Discov. 2013 Apr;8(1):68-83 - PubMed
- Ann Hematol. 2014 Jun;93(6):901-11 - PubMed
- PLoS Pathog. 2011 Jun;7(6):e1002103 - PubMed
- J Hosp Infect. 2012 Jun;81(2):114-8 - PubMed
- BMC Infect Dis. 2013 Apr 05;13:166 - PubMed
- Infect Control Hosp Epidemiol. 2003 Apr;24(4):269-74 - PubMed
- Int J Infect Dis. 2012 Aug;16(8):e603-7 - PubMed
- Cancer. 2006 May 1;106(9):1967-73 - PubMed
- Antimicrob Agents Chemother. 1997 May;41(5):1140-2 - PubMed
- Transpl Infect Dis. 2012 Feb;14(1):40-8 - PubMed
- Kansenshogaku Zasshi. 2012 May;86(3):300-5 - PubMed
- Appl Environ Microbiol. 2010 Mar;76(6):1746-58 - PubMed
- Infect Control Hosp Epidemiol. 2008 Feb;29(2):125-30 - PubMed
- J Clin Microbiol. 2010 Oct;48(10):3510-6 - PubMed
- Emerg Infect Dis. 2007 Apr;13(4):559-65 - PubMed
- Antimicrob Agents Chemother. 2001 Dec;45(12):3497-503 - PubMed
- Clin Imaging. 2013 Jul-Aug;37(4):669-79 - PubMed
- Antimicrob Agents Chemother. 2005 Sep;49(9):3980-1 - PubMed
- Antimicrob Agents Chemother. 2014;58(1):176-82 - PubMed
- Bone Marrow Transplant. 2013 Jan;48(1):74-9 - PubMed
- J Clin Oncol. 1999 Mar;17(3):796-805 - PubMed
- Mem Inst Oswaldo Cruz. 2013 May;108(3): - PubMed
- Bone Marrow Transplant. 2010 May;45(5):945-50 - PubMed
- Antimicrob Agents Chemother. 2002 Feb;46(2):333-43 - PubMed
- Bone Marrow Transplant. 2006 Nov;38(10):693-8 - PubMed
- Recent Pat Antiinfect Drug Discov. 2009 Jan;4(1):37-50 - PubMed
- AJR Am J Roentgenol. 1997 Nov;169(5):1347-53 - PubMed
- Clin Infect Dis. 2009 Jul 1;49(1):1-45 - PubMed
- Clin Microbiol Rev. 1998 Jan;11(1):57-80 - PubMed
- Antimicrob Agents Chemother. 2000 Jul;44(7):1778-82 - PubMed
- J Antimicrob Chemother. 2010 Mar;65(3):483-9 - PubMed
- J Ayub Med Coll Abbottabad. 2012 Apr-Jun;24(2):30-3 - PubMed
- Semin Respir Crit Care Med. 2007 Dec;28(6):672-7 - PubMed
- Int J Antimicrob Agents. 2009 Sep;34(3):260-4 - PubMed
- Microbiol Mol Biol Rev. 2006 Jun;70(2):296-316 - PubMed
- Infection. 2010 Jun;38(3):211-5 - PubMed
- Mikrobiyol Bul. 2005 Jan;39(1):25-33 - PubMed
- J Clin Microbiol. 2009 Aug;47(8):2405-10 - PubMed
- J Korean Med Sci. 2013 Jan;28(1):62-6 - PubMed
- J Med Microbiol. 2013 May;62(Pt 5):748-753 - PubMed
- Biomed Res Int. 2013;2013:392058 - PubMed
- J Microbiol Immunol Infect. 2006 Apr;39(2):144-9 - PubMed
- Infection. 2013 Oct;41(5):991-7 - PubMed
- Genome Announc. 2013 May 02;1(3): - PubMed
- J Antimicrob Chemother. 2012 Jul;67(7):1701-5 - PubMed
- J Bras Pneumol. 2009 May;35(5):431-5 - PubMed
- Int J Med Microbiol. 2005 Apr;295(1):47-55 - PubMed
- Genome Biol. 2008 Apr 17;9(4):R74 - PubMed
- Antimicrob Agents Chemother. 2011 Dec;55(12):5826-33 - PubMed
- Clin Microbiol Rev. 2012 Jan;25(1):2-41 - PubMed
- Infect Control Hosp Epidemiol. 1999 Nov;20(11):756-8 - PubMed
- Lancet Infect Dis. 2009 May;9(5):312-23 - PubMed
- J Formos Med Assoc. 2002 Jul;101(7):495-501 - PubMed
- J Antimicrob Chemother. 2008 Nov;62(5):889-94 - PubMed
- Scand J Infect Dis. 2013 Apr;45(4):265-70 - PubMed
- Multidiscip Respir Med. 2013 Feb 18;8(1):14 - PubMed
- Clin Infect Dis. 2003 May 1;36(9):1162-70 - PubMed
- Clin Infect Dis. 2002 Jan 15;34(2):177-83 - PubMed
- J Antimicrob Chemother. 2013 Sep;68(9):1987-93 - PubMed
- Antimicrob Agents Chemother. 2014;58(1):581-3 - PubMed
- Haematologica. 2013 Dec;98(12):1836-47 - PubMed
- Clin Infect Dis. 2002 May 15;34(10):1362-8 - PubMed
- Infect Control Hosp Epidemiol. 2004 Aug;25(8):646-9 - PubMed
- Clin Infect Dis. 2007 Dec 15;45(12):1602-9 - PubMed
- Bone Marrow Transplant. 2010 Apr;45(4):647-55 - PubMed
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