Podcast
Questions and Answers
What is the mortality rate of patients infected with multidrug-resistant isolates of S.maltophilia?
What is the mortality rate of patients infected with multidrug-resistant isolates of S.maltophilia?
- 71.4-80%
- 50-60%
- 60-71.4% (correct)
- 37-50%
What is the approximate percentage of VAP etiology that involves S.maltophilia?
What is the approximate percentage of VAP etiology that involves S.maltophilia?
- 40-50%
- 9-27% (correct)
- 5-15%
- 27-40%
What is a major risk factor for the colonization of S.maltophilia, leading to VAP?
What is a major risk factor for the colonization of S.maltophilia, leading to VAP?
- Chronic obstructive pulmonary disease (COPD)
- Old age
- Use of corticosteroids
- Use of mechanical ventilation (correct)
What is the primary location where VAP predominantly occurs?
What is the primary location where VAP predominantly occurs?
What is a common characteristic of patients who develop VAP due to S.maltophilia?
What is a common characteristic of patients who develop VAP due to S.maltophilia?
What is a consequence of the serious broad-spectrum resistance of S.maltophilia to antibiotics?
What is a consequence of the serious broad-spectrum resistance of S.maltophilia to antibiotics?
What is a major challenge in treating VAP due to S.maltophilia?
What is a major challenge in treating VAP due to S.maltophilia?
What is the main goal of summarizing the current evidence and clinical management of VAP due to S.maltophilia?
What is the main goal of summarizing the current evidence and clinical management of VAP due to S.maltophilia?
Flashcards
Mortality rate of MDR S.maltophilia?
Mortality rate of MDR S.maltophilia?
High, ranging from 60-71.4%.
S.maltophilia's role in VAP?
S.maltophilia's role in VAP?
Approximately 9-27% of cases.
VAP risk factor: S.maltophilia?
VAP risk factor: S.maltophilia?
Reliance on machine-assisted breathing.
Where does VAP mainly occur?
Where does VAP mainly occur?
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Who's prone to S.maltophilia VAP?
Who's prone to S.maltophilia VAP?
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Consequence of S.maltophilia's resistance?
Consequence of S.maltophilia's resistance?
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Challenge in treating S.maltophilia VAP?
Challenge in treating S.maltophilia VAP?
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Goal for managing S.maltophilia VAP?
Goal for managing S.maltophilia VAP?
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Study Notes
Ventilator-Associated Pneumonia (VAP)
- VAP is the most prevalent hospital-acquired infection in the ICU, resulting in significant morbidity and mortality.
- 9-27% of all VAP etiology involves S.maltophilia, particularly in patients with severe diseases.
Stenotrophomonas maltophilia (S.maltophilia)
- S.maltophilia is a virulent opportunistic pathogen that leads to pneumonia in populations with depleted immunity or serious chronic diseases.
- The use of mechanical ventilation is an important risk factor for colonization, which exacerbates pneumonia.
Treatment and Mortality Rate
- The serious broad-spectrum resistance of S.maltophilia to antibiotics has led to a difficult treatment of VAP due to S.maltophilia.
- Mortality rate of patients infected with multidrug-resistant isolates was 60-71.4%, much higher than the 37-50% mortality rate found in the antibiotic-sensitive group.
Clinical Management of VAP due to S.maltophilia
- There is a need for better management recommendations for VAP due to S.maltophilia, a fatal pathogen.
- There is a lack of new antimicrobial resistance management studies on VAP with multiple drug-resistant S.maltophilia.
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Description
This quiz covers the impact of S.maltophilia on ventilator-associated pneumonia (VAP) treatment, including antibiotic resistance and mortality rates. It also touches on antimicrobial therapy and new antimicrobial agents.