Stenotrophomonas maltophilia

Precautions

See 'Additional Information'
See 'Additional Information'

General Information

Pathogen information

Aerobic non-fermenting gram negative rod

Epidemiology

  • May be acquired from diverse environmental sources (i.e. tap water, soil, plants)

  • Can be a lung colonizer in CF patients

  • Usually acquired from nosocomial sources:

    • Distilled water
    • Nebulizers
    • Dialysates
    • Contaminated diinfectants, etc.
  • Patient's at risk:

    • Foreign bodies (catheters)
    • Neutropenia
    • Broad spectrum antibiotics
    • CF

Associated syndromes

  • Most common reason for isolation is colonization of the respiratory tract

    • Can be a cause of CF exacerbations
  • Most common true infections - blood stream infection (usually from vascular catheter) and pneumonia

  • Other manifestations rare (endocarditis, sinusitis, cellulitis, etc)

Additional Information

May require contact precautions if multi-drug resistant