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首页> 外文期刊>Infection and Drug Resistance >Extensively drug-resistant Myroides odoratimimus –?a case series of urinary tract infections in immunocompromised patients
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Extensively drug-resistant Myroides odoratimimus –?a case series of urinary tract infections in immunocompromised patients

机译：广泛耐药的臭臭菌-免疫功能低下患者尿路感染的一系列病例

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Purpose: We report an outbreak of urinary tract infections (UTIs) caused by Myroides odoratimimus , which occurred in the largest clinical hospital in western Romania. Patients and methods: From June to August 2017, four strains of M. odoratimimus were isolated from the urine samples of patients hospitalized in the urology, diabetes, and surgery departments. Hospital records of all patients whose urine cultures were positive for M.?-odoratimimus were reviewed retrospectively. We also reviewed the cases reported in the literature. Results: All UTIs, except one, were hospital-acquired infections. All patients with M. odoratimimus UTIs were immunocompromised. Three patients underwent urinary catheterization with a Foley’s catheter upon admission in the emergency department and one presented for replacement of ureterostomy tubes. All Myroides isolates were resistant to almost all the tested antibiotics. Two patients were successfully treated with tigecycline and one was receiving antimicrobial treatment for another infection at the time of isolation of the microorganism. Conclusion: Although M. odoratimimus is an uncommon pathogen, clinicians should be aware of its ability to cause UTI outbreaks, especially in the immunocompromised population. Due to its multi-drug resistance, it is important to rapidly identify Myroides spp. in order to choose the best treatment regimen.
机译：目的：我们报告了由臭臭菌（Myroides odoratimimus）引起的尿路感染（UTI）暴发，该病发生在罗马尼亚西部最大的临床医院。患者和方法：自2017年6月至2017年8月，从泌尿科，糖尿病和外科科住院的患者尿液样本中分离出4株odoratimimus菌株。回顾性回顾了所有尿培养阳性的患者的医院记录。我们还回顾了文献中报道的病例。结果：除一种外，所有UTI均为医院获得性感染。所有患有恶性支原体UTI的患者均免疫受损。 3例患者在急诊室入院时用Foley导管进行了导尿，另外1例则要求更换输尿管造口管。所有Myroides分离株对几乎所有测试的抗生素均具有抗性。两名患者用替加环素成功治疗，其中一名患者在分离微生物时正在接受另一种感染的抗菌治疗。结论：尽管奥氏支原体是一种罕见的病原体，但临床医生应意识到其引起尿道感染的能力，尤其是在免疫功能低下的人群中。由于其具有多药耐药性，因此快速识别Myroides spp非常重要。为了选择最佳的治疗方案。

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