Yıl: 2019 Cilt: 20 Sayı: 2 Sayfa Aralığı: 164 - 170 Metin Dili: İngilizce DOI: 10.4274/meandros.galenos.2016.2341 İndeks Tarihi: 29-07-2022

Nosocomial Infections and Cases of Sphingomonas Paucimobilis

Öz:
Sphingomonas paucimobilis (S. paucimobilis), especially in patients withimmune suppressive and very rare in healthy people, attracted attention recently,causing nosocomial infections, is a gram-negative, aerobic bacillus. This bacterialnosocomial infection in our hospital as a first six-month period, six times wasisolated from five patients. These five patients were acute peritonitis, vaginalcuff, surgical field, soft tissue and bloodstream infection. The identification ofmicrobiological methods known to S. paucimobilis was examined by the antibioticsensitivity disk diffusion test. Antibiotic sensitivity of the isolated bacteria werethe same. From the environment and environment cultures S. paucimobilis wasisolated once from the use water as a hospital infection effect. It was realized thatthe chlorination of hospital waters was inadequate during that period. Our hospitalwas thought to have a small epidemic. In conclusion, S. paucimobilis has recentlybeen investigated in the context of literature with the belief that a new nosocomialinfection will be affected.
Anahtar Kelime:

Nosokomiyal Enfeksiyonlar ve Sphingomonas Paucimobilis: Olguların Sunumu

Öz:
Sphingomonas paucimobilis (S. paucimobilis) özellikle immünsüpresif hastalarda ve sağlıklı insanlarda oldukça nadir görülen, son zamanlarda dikkati çeken, nozokomiyal enfeksiyonlara neden olan, gram-negatif, aerobik bir basildir. Bu bakteri hastanemizde ilk altı aylık bir süreç içersinde nozokomiyal enfeksiyon etkeni olarak, beş hastadan altı kez izole edildi. Toplam beş hasta; akut peritonit, vaginal cuff, cerrahi alan, yumuşak doku ve kan yolu enfeksiyonu idi. S. paucimobilis’in identifikasyonu bilinen mikrobiyolojik yöntemlerle, antibiyotik duyarlılığı ise disk difüzyon testi ile incelendi. İzole edilen bakterilerin antibiyotik duyarlılığı aynı idi. Yapılan çevre ve ortam kültürlerinden S. paucimobilis hastane enfeksiyon etkeni olarak bir kez kullanım suyundan izole edildi. O süreç içersinde hastane sularının klorlamasının yetersiz olduğu fark edildi. Hastanemizde küçük bir epidemi olduğu düşünüldü. Sonuçta S. paucimobilis son zamanlarda yeni bir nozokomiyal enfeksiyon etkeni olacağı düşünülerek literatür eşliğinde olgularla irdelendi.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • Perl TM. Surveillance, reporting, and the use of computers. In: Wenzel RP. ed. Prevention and Control of Nosocomial Infections. Second edition, Williams & Wilkins, Baltimore, Maryland, 1993, p.139-76.
  • Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC definitions for nosocomial infections. 1988. Am J Infect Control 1988; 16: 128-40.
  • Ryan MP, Adley CC. Sphingomonas paucimobilis: a persistent Gram-negative nosocomial infectious organism. J Hosp Infect. 2010 ; 75 : 153-57.
  • Lin JN, Lai CH, Chen YH, et al. Sphingomonas paucimobilis bacteremia in humans: 16 case reports and a literature review. (JMII) Journal of Microbiology Immunology and Infection 2010; 43 : 35-42.
  • Maragakis L, Chalwarith R, Srivinivasan A, Torriani F et all. Sphingomonas paucimobilis bloodstream infections associated with contaminated intravenous fentanyl. Emerging Infect Dis 2009; 1 : 12-18.
  • Dervisoglu E, Meric M, Kalender B, SEngul E. Sphingomonas paucimobilis peritonitis: a case report and literature review. Peritoneal Dialysis International 2008; 8: 547-50.
  • Casadewall A, Freundlich LF, Profiski L. Septic shock caused by Pseudomonas paucimobilis. Clin Infect Dis 1992; 14: 784.
  • Tambawala AQ, Hamid S, Khan I, Ali A. Continous ambulatory peritoneal dialysis (CAPD) associated in a child : A rare case of peritonitis caused by Sphingomonous paucimobilis. J Pak Med Assos 2011; 6: 178-80.
  • Willke A, Kolayli F, Yavuz S, Vahaboglu H. Water-borne Sphingomonas paucimobilis epidemic in an intensive care unit. J Infect. 2009 ; 58: 253-55.
  • Bulut C, Yetkin MA, Koruk ST, Erdinç FS, Karakoç EA. A rare cause of nosocomial bacteremia: Sphingomonas paucimobilis. Mikrobiyol Bul. 2008; 42: 685-88.
  • Cheong HS, Wi YM, Moon SY, Kang CI, Son JS, Ko KS, Chung DR, Lee NY, Song JH, Peck KR. Clinical features and treatment outcomes of infections caused by Sphingomonas paucimobilis. Infect Control Hosp Epidemiol. 2008; 29: 990-92.
  • Toh HS, Tay HT, Kuar WK, Weng TC, Tang HJ, Tan CK. Risk factors associated with Sphingomonas paucimobilis infection. J Microbiol Immunol Infect 2011; 44: 2890-95.
  • Kilic A, Senses Z, Kurekci AE, Aydogan H, Sener K, Kismet E, Basustaoglu AC. Nosocomial outbreak of Sphingomonas paucimobilis bacteremia in a hemato/oncology unit. Jpn J Infect Dis. 2007; 60: 394-96.
  • Ensminger SA, Wright RS, Baddour LM, Afessa B. Suspected ventilator-associated pneumonia in cardiac patients admitted to the coronary care unit. Mayo Clin Proc. 2006; 81: 32-5.
  • Källman O, Lundberg C, Wretlind B, Ortqvist A. Rare bacteria species found in wounds of tsunami patients. Predominance of gram-negative rods, increased antibiotic resistance. Lakartidningen. 2005; 102: 3660-65.
  • Perola O, Nousiainen T, Suomalainen S, Aukee S, Kärkkäinen UM, Kauppinen J, Ojanen T, Katila ML. Recurrent Sphingomonas paucimobilis -bacteraemia associated with a multi-bacterial water-borne epidemic among neutropenic patients. J Hosp Infect. 2002; 50: 196-201.
  • Hsueh PR, Teng LJ, Yang PC, Chen YC, Pan HJ, Ho SW, Luh KT. Nosocomial infections caused by Sphingomonas paucimobilis:clinical features and microbiological characteristics. Clin Infect Dis. 1998; 26: 676-81.
  • Nandy S, Dudeja M, Das AK, Tiwari R. Community Acquired Bacteremia by Sphingomonas paucimobilis: Two Rare Case Reports. J Clin Diagn Res. 2013; 7: 2947-79.
  • Glupczynski Y, Hansen W, Dratwa M, Tielemans C, Wens R, Collart F, Yourassowsky E: Pseudomonas paucimobilis peritonitis in patients treated by peritoneal dialysis. J Clin Microbiol 1984; 20: 1225-26.
  • Turhanoğlu NM, Bilman FB, Sekiz yıllık dönemde Sphingomonas paucimobilis infeksiyonları. Flora 2013; 16: 113-118.
  • Bayram N, Devrim İ, Apa H, Gulfidan G, Turkyılmaz HN, Gunay İ. Spingomonas paucimobilis infections in children:24 case perorts. Mediterr J Hematol Infect Dis. 2013; 5: e2013040.
  • Kıvrak EE, Taşbakan MI, Öztürk AM, ve ark. Nadir bir cerrahi alan infeksiyonu etkeni: Sphingomonas paucimobilis (olgu sunumu). ANKEM Derg 2010; 24: 234-36.
APA SIRMATEL F, BEHZADİ E, KARABAY O, ÖZENSOY A (2019). Nosocomial Infections and Cases of Sphingomonas Paucimobilis. , 164 - 170. 10.4274/meandros.galenos.2016.2341
Chicago SIRMATEL FATMA,BEHZADİ Elham,KARABAY OĞUZ,ÖZENSOY Aynur Nosocomial Infections and Cases of Sphingomonas Paucimobilis. (2019): 164 - 170. 10.4274/meandros.galenos.2016.2341
MLA SIRMATEL FATMA,BEHZADİ Elham,KARABAY OĞUZ,ÖZENSOY Aynur Nosocomial Infections and Cases of Sphingomonas Paucimobilis. , 2019, ss.164 - 170. 10.4274/meandros.galenos.2016.2341
AMA SIRMATEL F,BEHZADİ E,KARABAY O,ÖZENSOY A Nosocomial Infections and Cases of Sphingomonas Paucimobilis. . 2019; 164 - 170. 10.4274/meandros.galenos.2016.2341
Vancouver SIRMATEL F,BEHZADİ E,KARABAY O,ÖZENSOY A Nosocomial Infections and Cases of Sphingomonas Paucimobilis. . 2019; 164 - 170. 10.4274/meandros.galenos.2016.2341
IEEE SIRMATEL F,BEHZADİ E,KARABAY O,ÖZENSOY A "Nosocomial Infections and Cases of Sphingomonas Paucimobilis." , ss.164 - 170, 2019. 10.4274/meandros.galenos.2016.2341
ISNAD SIRMATEL, FATMA vd. "Nosocomial Infections and Cases of Sphingomonas Paucimobilis". (2019), 164-170. https://doi.org/10.4274/meandros.galenos.2016.2341
APA SIRMATEL F, BEHZADİ E, KARABAY O, ÖZENSOY A (2019). Nosocomial Infections and Cases of Sphingomonas Paucimobilis. Meandros Medical And Dental Journal, 20(2), 164 - 170. 10.4274/meandros.galenos.2016.2341
Chicago SIRMATEL FATMA,BEHZADİ Elham,KARABAY OĞUZ,ÖZENSOY Aynur Nosocomial Infections and Cases of Sphingomonas Paucimobilis. Meandros Medical And Dental Journal 20, no.2 (2019): 164 - 170. 10.4274/meandros.galenos.2016.2341
MLA SIRMATEL FATMA,BEHZADİ Elham,KARABAY OĞUZ,ÖZENSOY Aynur Nosocomial Infections and Cases of Sphingomonas Paucimobilis. Meandros Medical And Dental Journal, vol.20, no.2, 2019, ss.164 - 170. 10.4274/meandros.galenos.2016.2341
AMA SIRMATEL F,BEHZADİ E,KARABAY O,ÖZENSOY A Nosocomial Infections and Cases of Sphingomonas Paucimobilis. Meandros Medical And Dental Journal. 2019; 20(2): 164 - 170. 10.4274/meandros.galenos.2016.2341
Vancouver SIRMATEL F,BEHZADİ E,KARABAY O,ÖZENSOY A Nosocomial Infections and Cases of Sphingomonas Paucimobilis. Meandros Medical And Dental Journal. 2019; 20(2): 164 - 170. 10.4274/meandros.galenos.2016.2341
IEEE SIRMATEL F,BEHZADİ E,KARABAY O,ÖZENSOY A "Nosocomial Infections and Cases of Sphingomonas Paucimobilis." Meandros Medical And Dental Journal, 20, ss.164 - 170, 2019. 10.4274/meandros.galenos.2016.2341
ISNAD SIRMATEL, FATMA vd. "Nosocomial Infections and Cases of Sphingomonas Paucimobilis". Meandros Medical And Dental Journal 20/2 (2019), 164-170. https://doi.org/10.4274/meandros.galenos.2016.2341