[Surveillance on antibiotic resistance of Stenotrophomonas maltophilia in Chengdu and Chongqing area]

Sichuan Da Xue Xue Bao Yi Xue Ban. 2004 Jan;35(1):91-3.
[Article in Chinese]

Abstract

Objective: To survey the antibiotic resistance of Stenotrophomonas maltophilia in Chengdu and Chongqing area and guide the rational antibiotics usage in the treatment of Stenotrophomonas maltophilia infection.

Methods: Minimal inhibitory concentrations (MICs) of 9 antibiotics against Stenotrophomonas maltophilia were measured using two-fold agar dilution method.

Results: A total of 154 strains of Stenotrophomonas maltophilia are multi-drug resistant. But the resistant ratios of trimethoprim-sulfamethoxazole, ticarcillin-clavavulanic acid and fluoroquinolones are lower; especially, new fluoroquinolones have stronger antimicrobial activities.

Conclusion: The rate of isolating Stenotrophomonas maltophilia strains from clinical samples has been rising. In the therapy of Stenotrophomonas maltophilia infection, trimethoprim-sulfamethoxazole or fluoroquinolones is empirically the medicine of choice. For the treatment of serious infection, the administration of trimethoprim-sulfamethoxazole combined with ticarcillin-clavavulanic acid or new fluoroquinolones is rational.

Publication types

  • English Abstract

MeSH terms

  • Anti-Infective Agents / pharmacology*
  • Clavulanic Acid / pharmacology
  • Drug Resistance, Multiple, Bacterial
  • Fluoroquinolones / pharmacology*
  • Humans
  • Microbial Sensitivity Tests
  • Stenotrophomonas maltophilia / drug effects*
  • Ticarcillin / pharmacology*
  • Trimethoprim, Sulfamethoxazole Drug Combination / pharmacology*

Substances

  • Anti-Infective Agents
  • Fluoroquinolones
  • Clavulanic Acid
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Ticarcillin