Rare or Unusual Non-Fermenting Gram-Negative Bacteria: Therapeutic Approach and Antibiotic Treatment Options
Antibiotics,
Journal Year:
2025,
Volume and Issue:
14(3), P. 306 - 306
Published: March 16, 2025
Non-fermenting
Gram-negative
bacteria
(NFGNB)
are
a
heterogeneous
group
of
opportunistic
pathogens
increasingly
associated
with
healthcare-associated
infections.
While
Pseudomonas
aeruginosa,
Acinetobacter
baumannii,
and
Stenotrophomonas
maltophilia
well
known,
rarer
species
such
as
Burkholderia
cepacia
complex,
Achromobacter
spp.,
Chryseobacterium
Elizabethkingia
Ralstonia
others
pose
emerging
therapeutic
challenges.
Their
intrinsic
acquired
resistance
mechanisms
limit
effective
treatment
options,
making
targeted
therapy
essential.
Objectives:
This
narrative
review
summarizes
the
current
understanding
rare
unusual
NFGNB,
their
clinical
significance,
profiles,
evidence-based
strategies.
Methods:
A
literature
was
conducted
using
PubMed,
Scopus,
Web
Science
to
identify
relevant
studies
on
epidemiology,
antimicrobial
resistance,
approaches
NFGNB.
Results:
Rare
NFGNB
exhibits
diverse
mechanisms,
including
β-lactamase
production,
efflux
pumps,
porin
modifications.
Treatment
selection
depends
species-specific
susceptibility
patterns,
but
some
cornerstones
can
be
individuated.
Novel
β-lactam/β-lactamase
inhibitors
combination
being
explored
for
multidrug-resistant
isolates.
However,
data
remain
limited.
Conclusions:
The
increasing
incidence
requires
heightened
awareness
tailored
approach.
Given
paucity
guidelines,
stewardship
susceptibility-guided
crucial
in
optimizing
patient
outcomes.
Language: Английский
Mortality Risk and Antibiotic Therapy for Patients with Infections Caused by Elizabethkingia Species—A Meta-Analysis
Chienhsiu Huang,
No information about this author
Sufang Kuo,
No information about this author
Lichen Lin
No information about this author
et al.
Medicina,
Journal Year:
2024,
Volume and Issue:
60(9), P. 1529 - 1529
Published: Sept. 19, 2024
Background
and
Objectives:
Patients
with
infections
caused
by
Elizabethkingia
species
require
prompt
identification
effective
antibiotic
treatment
since
these
spp.
are
typically
resistant
to
multiple
antibiotics
variable
susceptibility
patterns.
Understanding
the
mortality
risk
of
this
disease
is
difficult
because
relatively
low
incidence
lack
published
systematic
evaluations
factors
for
mortality.
The
aim
present
study
was
investigate
in
patients
conducting
a
meta-analysis
existing
studies
on
infections.
Materials
Methods:
Studies
comparing
who
died
from
survived
were
considered
inclusion.
that
reported
one
or
more
considered.
Clinical
predisposing
variables,
comorbidities,
clinical
outcomes
among
Results:
included
twenty
990
patients,
298
(30.1%)
died.
following
identified:
intensive
care
unit
admission,
need
mechanical
ventilation,
immunosuppressive
steroid
therapy
use,
pneumonia,
comorbid
liver
disease,
use
inappropriate
antimicrobial
therapy.
Conclusions:
appropriate
critical
management
Antimicrobial
testing
would
be
reliable
means
guiding
treatment.
best
drugs
needed
ensure
optimal
recommendations
treating
Elizabethkingia-related
Language: Английский
Bacteriological Profile of Patients With Stroke-Associated Pneumonia and Antimicrobial Susceptibility of Pathogens: A Cross-Sectional Study
Cureus,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 21, 2024
Stroke-associated
pneumonia
(SAP)
is
the
aftermath
of
aspiration
oropharyngeal
secretions
or
stomach
content.
Mechanical
ventilation
and
lowered
immunity
consciousness
facilitate
etiopathogenesis
SAP.
Antibiotic
prophylaxis
repeated
culture
sensitivity
testing
dampen
drug
susceptibility
patterns
pathogens.
We
accomplished
this
study
to
determine
bacteriological
profile
patients
with
SAP
antimicrobial
pathogenic
bacteria.
Language: Английский
Prevalence, and Microbiological and Clinical Characteristics of Elizabethkingia Isolates from a tertiary hospital in Jiangxi Province, China
Xiuhua Kang,
No information about this author
Huaming Guo,
No information about this author
Shanting Zhao
No information about this author
et al.
Research Square (Research Square),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 2, 2024
Abstract
Background
Elizabethkingia
infections
have
gradually
become
life-threatening
hospital-acquired
worldwide
with
increasing
morbidity,
multidrug
resistance,
and
poor
prognosis.
However,
information
on
the
epidemiological
clinical
characteristics
of
in
mainland
China
is
limited.
The
aim
this
study
was
to
analyze
molecular
characteristics,
drug
susceptibility
isolates
from
a
hospital
Jiangxi
Province,
China.
Results
mean
age
patients
61
years
(excluding
one
13-day-old
infant)
74.8%
were
male.
In
total,
85.4%
admitted
Intensive
Care
Unit
infected
Elizabethkingia.
COVID-19,
respiratory
disease,
central
venous
catheterization
rates
significantly
different
(
P
<0.05)
between
surviving
dying
groups.
Sequencing
103
identified
92
strains
Elizabethkingia
anopheles,
eight
meningoseptica,
two
bruuniana,
strain
ursingii.
Vitek
MS
had
correct
identification
rate
87%
for
E.
anopheles.
More
than
90%
isolates
susceptible
minocycline,
but
resistant
other
drugs,
including
ceftazidime,
aztreonam,
imipenem.
Resistance
genotype
analysis
showed
that
blaBlaB
blaCME
highly
prevalent
isolates.
Molecular
typing
revealed
29
PFGE
types
clonal
transmission
wards.
Conclusions
Multidrug-resistant
Elizabethkingiaare
beingdetected
at
rates;
larger
database
required
bacterium.
This
could
be
beneficial
subsequent
determination
optimal
antimicrobial
drugs
treatment
caused
by
strains.
Our
model
most
sufficient
genetic
diversity
transmission;
adequate
attention
should
paid
pathogen.
Language: Английский
Caseinolytic protease P (ClpP) is a c-di-GMP effector protein modulating motility, biofilm and virulence in Stenotrophomonas maltophilia
Jie Deng,
No information about this author
Xiaoyu Sun,
No information about this author
Jiayi Wang
No information about this author
et al.
Deleted Journal,
Journal Year:
2024,
Volume and Issue:
1, P. 100023 - 100023
Published: Nov. 9, 2024
Language: Английский
Antimicrobial Susceptibility Patterns and Antimicrobial Therapy of Infections Caused by Elizabethkingia Species
Medicina,
Journal Year:
2024,
Volume and Issue:
60(12), P. 1990 - 1990
Published: Dec. 2, 2024
Background
and
Objectives:
Elizabethkingia
species
have
become
significant
sources
of
infections
acquired
in
hospital
settings
are
commonly
linked
to
high
mortality
rates.
Antimicrobial
resistance
can
be
influenced
by
species,
geographical
location,
antimicrobial
susceptibility
testing
methods,
the
time
bacterial
isolation.
There
distinct
patterns
among
investigation
into
potential
antibiotic
variations
is
beneficial.
no
guidance
on
treatment
literature.
Consequently,
purpose
this
review
was
elaborate
through
a
scoping
existing
studies
antibiograms
illness
caused
species.
Materials
Methods:
A
comprehensive
literature
search
PubMed
Web
Science
between
1
January
2000
30
April
2024
identified
all
studies,
including
those
that
examined
therapy
I
considered
for
which
only
broth
microdilution
methods
agar
dilution
were
used.
Results:
The
sensitivity
levels
meningoseptica
piperacillin–tazobactam
(5–100%),
ciprofloxacin
(0–43.4%),
levofloxacin
(30–81.8%),
trimethoprim–sulfamethoxazole
(0–100%),
tigecycline
(15–100%),
minocycline
(60–100%),
rifampicin
(94–100%)
varied.
anophelis
(3.3–93.3%),
(1–75%),
(12–100%),
(1.02–96.7%),
(0–52.2%),
(97.5–100%),
(20.5–96%)
miricola
(41.6–94.0%),
(14–75%),
(77.0–100%),
(18.0–100%),
(50%),
(100%),
(66–85.7%)
Conclusions:
majority
isolates
susceptible
rifampin.
This
issue
requires
professional
knowledge
integration
recommendations.
Language: Английский