An epidemiological analysis of Stenotrophomonas maltophilia strains in a university hospital

Jpn J Infect Dis. 2004 Apr;57(2):37-40.

Abstract

The aim of this investigation was to evaluate the epidemiology of Stenotrophomonas maltophilia in a university hospital of Turkey. From June 2000 to December 2001, S. maltophilia strains were collected, clinical presentations were noted, and MIC determinations were performed by means of E-test. Enterobacterial repetitive intergenic consensus sequences-PCR (ERIC-PCR) was used for molecular typing of the strains. Forty-four strains of S. maltophilia were isolated from 41 hospitalized patients in a teaching hospital. The majority of specimens were from the blood and respiratory tract. Antimicrobial sensitivities of these strains were as follows: 97.7 % trimethoprim-sulfamethoxazole, 15.9% ticarcillin, and 95.4% ticarcillin- clavulanate. The strains were evaluated using the ERIC-PCR method. It was of interest to note that epidemiological typing revealed three small outbreaks that were caused by a total of 12 strains. The remaining isolates generated singular DNA patterns. DNA amplification was possible in 38 isolates and yielded 26 different patterns in a period of 20 months, leading to the suggestion that commensal bacteria becomes selected in the presence of a suitable host.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anti-Bacterial Agents / pharmacology
  • Bacterial Typing Techniques
  • Child
  • Child, Preschool
  • Cross Infection / epidemiology
  • Cross Infection / microbiology*
  • DNA Primers
  • DNA, Bacterial / analysis
  • DNA, Bacterial / genetics
  • DNA, Bacterial / isolation & purification
  • Drug Resistance, Bacterial
  • Female
  • Gram-Negative Bacterial Infections / diagnosis
  • Gram-Negative Bacterial Infections / epidemiology*
  • Gram-Negative Bacterial Infections / microbiology*
  • Hospitals, University
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Microbial Sensitivity Tests
  • Middle Aged
  • Molecular Epidemiology*
  • Polymerase Chain Reaction / methods
  • Stenotrophomonas maltophilia / classification*
  • Stenotrophomonas maltophilia / genetics
  • Stenotrophomonas maltophilia / growth & development
  • Stenotrophomonas maltophilia / isolation & purification
  • Turkey

Substances

  • Anti-Bacterial Agents
  • DNA Primers
  • DNA, Bacterial