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Ventilator-associated pneumonia with Col-S strains: a successful comeback of colistin! BJID
Mukhopadhyay,C.; Krishna,S.; Vandana,K.E.; Shenoy,A.; Bairy,I..
Emergence of multi and pan-drug resistant Gram-negative bacteria causing nosocomial infections in intensive care settings has become a challenge for clinicians. The mortality rate of ventilator-associated pneumonia (VAP) is known to increase when the initial microbiological diagnosis and antimicrobial therapy are inappropriate. We present a case of a 18-year-old man, who after being admitted following an accident, had developed VAP due to multi-drug resistant Pseudomonas aeruginosa and Acinetobacter spp. and had a downhill clinical course despite broad-spectrum antibiotic treatment. The strains were found to be Col-S, as the susceptibility was tested. Colistin was instituted, with remarkable recovery. It is imperative to diagnose VAP with multi-drug...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Colistin; Col-S strain; Ventilator-associated pneumonia.
Ano: 2008 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000500018
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