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在stenotrophomonas maltophilia這個產品中，有3篇Facebook貼文，粉絲數超過7萬的網紅臨床筆記，也在其Facebook貼文中提到， #pneumonia #sputum #tw 痰液檢體培養作業指引 2015 http://www.labmed.org.tw/Upfiles/Test_5A/201675172520.pdf 應於 2 小時內送至實驗室，若無法及時運送，可儲存於 2-8 °C，但勿超過 24 小時。 ...

stenotrophomonas maltophilia 在 臨床筆記 Facebook 的精選貼文

臨床筆記 By 臨床筆記

2020-10-20 07:49:23 有 32 人按讚
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#pneumonia #sputum #tw
痰液檢體培養作業指引 2015
http://www.labmed.org.tw/Upfiles/Test_5A/201675172520.pdf

應於 2 小時內送至實驗室，若無法及時運送，可儲存於 2-8 °C，但勿超過 24 小時。

痰液的品質：中性球 < 10/LPF（0 分）、10-25（1 分）、> 25（2 分），黏液（1 分）；上皮細胞 10-25（- 1 分）、> 25（- 2 分）；LPF（100 x 視野顯微鏡）。分數至少 1 分才是合格的痰液。

• 呼吸道常在菌：viridans group streptococci, commensal Neisseria spp., diphtheroids, coagulase-negative staphylococci（CoNS）, Rothia, group F streptococci, anaerobes, Haemophilus spp. (not H. influenzae), entercocci, Candida spp., Eikenella, Actinobacillus, Capnocytophaga, and Moxaxella.
• 絕對致病菌 (任何菌量皆須操作)：Streptococcus pyogenes，Brucella spp.，Francisella tularensis，Yersinia pestis，Bacillus anthracis，Rhodococcus equi，Streptomyces，Nocardia，Cryptococcus neoformans，non‐saprophytic molds
• 可能致病菌 (中等量至大量的菌量，且大於呼吸道常在菌量)：Streptococcus pneumoniae，Staphylococcus aureus，Moraxella catarrhalis，Haemophilas influenzae，Neisseria meningitides，Group B, C, and G streptococci，Pasteurella spp.，One or two types Enterobacteriaceae，Bordetella bronchiseptica，Stenotrophomonas maltophilia，Acinetobacter，Pseudomonas aeruginosa，Burkholderia cepacia，Other aerobic gram-negative bacilli，Urea (+) Corynebacterium
• 可能致病菌大於二種以上 (中等量至大量的 菌量且大於呼吸道常在菌量)：觀察革蘭氏抹片，若完全無上皮細胞，則至多操作三種菌；若有1-9/LPF的上皮細胞且白血球大於 25/LPF，操作抹片中與PMN有關係至多二種菌。

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這裡是心臟內科及重症專科醫師 林世崇的醫療筆記部落格，提供實用的臨床醫療資訊，歡迎分享！
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stenotrophomonas maltophilia 在 薛宇哲老師醫學教育知識區 Facebook 的精選貼文

薛宇哲老師醫學教育知識區 By 薛宇哲老師醫學教育知識區

2015-10-21 00:33:59 有 10 人按讚
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【Stenotrophomonas maltophilia感染的抗生素治療】

Stenotrophomonas maltophilia 為革蘭氏陰性桿菌，對許多抗生素先天上就 有抗藥性。
S. maltophilia對抗微生物藥劑的抗藥性大約有以下幾項：
(1)產生 β-lactamase對β-lactam類抗生素抗藥性，細菌之排出
(efflux) 系統以致將 進入細菌體內的抗生素排出
(2)對aminoglycoside結構做酵素性修飾導致抗生素活性減少
之抗藥性
(3)透過integron，transposon或plasmid媒介使抗藥性基因 在不
同細菌之間轉移導致細菌對trimethoprim
sulfamathaxozoleintegron (TMP-SMZ) 產生抗藥性
(4)形成生物膜 (biofilm) 阻卻抗生素滲入生物膜所保護的細菌。

依據在台灣地區的S. maltophilia生體外試驗結果，新一代的 fluoroquinolones (如levofloxacin或moxifloxacin)有相當好的抗菌活性， 可考慮做為經驗性的投藥予S. maltophilia感染之患者。而TMP-SMZ已不適宜做為經驗性治療的給藥。
其餘如一般常用的β-lactam類抗生素、aminoglycoside、carbapenems對S. maltophilia抗菌活性不佳，臨床上不宜使用。

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生理學、藥理學、 病理學、普通生物學是醫學教育中基礎學科但卻是不可或缺的學問 這個園地的建立 提供一個大家可找尋挖掘知識寶庫 培養出謙卑的態度 這一切成為上帝美好的見證
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stenotrophomonas maltophilia 在 加護病房查房日誌 Facebook 的精選貼文

加護病房查房日誌 By 加護病房查房日誌

2012-10-17 10:45:01 有 63 人按讚
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加護病房查房日誌2012/10/17
今天天氣真的還不錯，好想要一直在家裡睡覺喔。一早看facebook的時候，我的老闆告訴我一個好消息，我們之前發表在PLOSone的paper上網路新聞了。請看http://www.top1health.com/Article/29/8711，老師還滿開心的。
查房的時候，另一個老闆又分享了一個觀念，我們有個病人的sputum culture長了Stenotrophomonas maltophilia，我想有在ICU的同學應該都知道這隻菌，在醫院中， S. maltophilia易在長期住院病人的呼吸道，或在病人的人工植入物上形成移生菌落 (colonizers)，且在潮濕醫療器具表面上存活，再伺機侵入免疫能力低下的病人體內，而造成感染。
老闆說的是，有研究指出將這隻菌打到老鼠的體內，其實老鼠不太會生病，所以臨床上病人如果並沒有感染的情況，大多都是clonization。這和我念過的書也差不多觀念，這隻菌其實在自然環境常見，在正常免疫力的病人身上是不太會導致病人生病感染的，除非是免疫低下的病人(當然任何事都有可能有例外)，國外文獻也提到臨床上不太容易區分是真的感染或只是clonization。最常見感染的部位是肺和血液中，如果是像尿液的地方驗出S. maltophilia，那我們就要好好考慮了。至於今天這個病人因為肺部的感染其實好轉的很多，臨床上也沒有發燒等感染情況，所以我們暫時就沒有改換抗生素。
那如果要換的話要用那種抗生素呢? 你如果去看書的話，他一定會跟你說首選是baktar，但在台灣請不要這樣做，因為過去台大等醫院都曾做過這隻菌的抗藥性研究發現，90%以上的baktar對這隻菌都沒效了，所以在台灣應該選用levofloxacin的fluoroquinolone來治療。你問其他像cepha這類的藥物嗎? 別想了全部都是抗藥性，這隻菌如果真的造成病人的感染，可是很難治療的喔，因為沒啥藥可選。
希望今天結合老闆和我的分享，同時著重臨床與實證的分享，大家會喜歡。

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這是一個分享加護病房中查房心得，醫藥新知的地方。以簡單的方式呈現給大家，希望對大家有所幫助。
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stenotrophomonas maltophilia 在 Stenotrophomonas maltophilia - YouTube 的推薦與評價

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Stenotrophomonas maltophilia is an aerobic, nonfermentative, Gram-negative bacterium. It is an uncommon bacterium and human infection is ... ... <看更多>

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Cuadro clínico: Stenotrophomonas maltophilia produce un amplio espectro de infecciones clínicas como neumonía, bronquitis purulenta, bacteriemia, ... ... <看更多>

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#1. Stenotrophomonas maltophilia 在醫療照護相關感染及社區感染 ...

Stenotrophomonas maltophilia 在醫. 療照護相關感染中逐漸扮演重要的角. 色[1]。由於侵襲性的醫療裝置的留置. (如中央靜脈導管) 和廣效抗生素的大. 量使用，S.

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Stenotrophomonas maltophilia is an aerobic, nonfermentative, Gram-negative bacterium. It is an uncommon bacterium and human infection is difficult to treat.

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The gram-negative bacterium Stenotrophomonas maltophilia is increasingly recognized as an important cause of nosocomial infection.

#6. Stenotrophomonas Maltophilia - Medscape Reference

Stenotrophomonas (Xanthomonas) maltophilia is an aerobic gram-negative bacillus that is found in various aquatic environments.

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Abstract. Stenotrophomonas maltophilia colonization/infection in patients with cancer has significantly increased over the past 2 decades.

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Stenotrophomonas maltophilia is a non-fermentative, gram-negative bacillus that is closely related to the Pseudomonas species. Bacterium bookeri ...

#11. Stenotrophomonas maltophilia - GOV.UK

Stenotrophomonas maltophilia is a Gram-negative bacterium found in a variety of environments including soil, water, and plants.

#12. Stenotrophomonas maltophilia | PubMLST

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Stenotrophomonas maltophilia (S. maltophilia) is a non-fermenting gram-negative bacillus. It behaves like an opportunistic pathogen, mainly producing ...

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#18. Stenotrophomonas maltophilia Ocular Infections - JAMA ...

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#54. Culti-Loops™ Stenotrophomonas maltophilia ATCC™ 17666™

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#58. Stenotrophomonas Bacteria | LiquiTech

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#63. Stenotrophomonas maltophilia - SlideShare

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Rapidly progressive fatal hemorrhagic pneumonia caused by Stenotrophomonas maltophilia in hematologic malignancy. Transpl Infect Dis 2012;0:1–9. 15.

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#76. Shaker Chuck Farah - Biblioteca Virtual da FAPESP

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tare, tra cui Stenotrophomonas maltophilia. Cefiderocol ha anche dimostrato un'attività in vitro contro alcu-.

#80. Вирусные пневмонии: новый взгляд на старую проблему ...

... Staphylococcus aureus, Escherichia coli и Stenotrophomonas maltophilia. Aspergillus fumigatus – наиболее распространенный микроорганизм, ...

#81. Risk Group Database - Welcome to my.ABSA.org.

... Sphaerophorus, Sphingobacterium, Sphingomonas, Spiroplasma, Sporichthya, Staphylococcus, Stenotrophomonas, Streptobacillus, Streptococcus, Streptomyces, ...