Stenotrophomonas maltophilia causing blood stream infection in neonates and infants: a cause for concern

Trop Doct. 2018 Jul;48(3):227-229. doi: 10.1177/0049475517743360. Epub 2017 Nov 21.

Abstract

Stenotrophomonas maltophilia ( S. maltophilia) is an important Gram-negative, non-fermentative, multidrug resistant (MDR) nosocomial organism. We evaluated the isolation of S. maltophilia from the seven blood culture specimens received from the Paediatric Emergency Department (PED) of BP Koirala Institute of Health Sciences (BPKIHS) over the duration of two weeks. The suspicion of a possible outbreak was raised and the hospital infection control team investigated the source and found the hand of one healthcare provider harbouring a similar organism. All six steps of hand hygiene were subsequently strictly enforced after which the same bacteria were no longer isolated. Infection control measures should be rigorously adopted for the control of such nosocomial bacteria.

Keywords: Asia; bacterial infection; disease prevention.

MeSH terms

  • Bacteremia / epidemiology*
  • Bacteremia / microbiology
  • Bacteremia / prevention & control
  • Cross Infection / epidemiology*
  • Cross Infection / microbiology
  • Cross Infection / prevention & control
  • Disease Outbreaks / statistics & numerical data*
  • Gram-Negative Bacterial Infections / epidemiology*
  • Gram-Negative Bacterial Infections / microbiology
  • Gram-Negative Bacterial Infections / prevention & control
  • Hand Hygiene
  • Hospitals
  • Humans
  • India / epidemiology
  • Infant
  • Infant, Newborn
  • Intensive Care Units, Neonatal
  • Risk Assessment
  • Severity of Illness Index
  • Stenotrophomonas maltophilia / isolation & purification*