篇名 | An Outbreak of Trimethoprim/Sulfamethoxazole‑Resistant Stenotrophomonas maltophilia Meningitis Associated with Neuroendoscopy |
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卷期 | 34:5 |
作者 | Wang, Ching-hsun 、 Hsu, Shih-wei 、 Tsai, Tung-han 、 Wang, Ning-chi |
頁次 | 235-237 |
關鍵字 | Trimethoprim/sulfamethoxazole resistance 、 meningitis 、 Stenotrophomonas maltophilia 、 neuroendoscopy 、 MEDLINE 、 Scopus |
出刊日期 | 201410 |
DOI | 10.4103/1011-4564.143653 |
Stereotactic aspiration by neuroendoscopy for treatment of deep-seated intracranial hematomas is widely accepted because this procedure is minimally invasive and thereby reduces the probability of iatrogenic brain damage. Herein, we describe an outbreak of trimethoprim/sulfamethoxazole (TMP/SXT)-resistant Stenotrophomonas maltophilia meningitis, possibly from a contaminated neuroendoscopy, and review the previous use of antimicrobial therapies for this condition without TMP/SXT. This is the first reported outbreak of TMP/SXT-resistant S. maltophilia meningitis. The discussion emphasizes the importance of adequate disinfection processes before and after endoscopic neurosurgery and the use of therapeutic options other than TMP/ SXT when encountering S. maltophilia meningitis.