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Journals / Ortadoğu Tıp Dergisi / 2014 / Cilt: 6 - Sayı: 1

A Case of Mediastinitis Due To Multidrug Resistant Acinetobacter Baumannii Recovered With Combined Antibiotic Therapy

Kombine Antibiyotik Tedavisi İle Düzelen Çok İlaca Dirençli Acinetobacter Baumannii Mediastiniti Olgusu

Nilgün ALTIN
S. Fehmi KATIRCIOĞLU
Göknur TOROS YAPAR
Mehmet S. BAYRAKTAROĞLU
İrfan ŞENCAN
Salih CESUR
Pages
54–57
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case report,we describe a patient who experienced mediastinitis due to A. baumannii infection after coronary artery bypass surgery that was successfully treated with rifampicin and colistin combination.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:(A. baumannii) is a non fermantative gram negative coccobacillus that may cause hospital infections with difficultiesin treatment high mortality rates due to its ability to have multiple drug resistance.
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Key Findings & Data:Postoperative mediastinitis is a rare condition with a high mortality rate.
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Conclusion & Impact:In this case report,we describe a patient who experienced mediastinitis due to A. baumannii infection after coronary artery bypass surgery that was successfully treated with rifampicin and colistin combination.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

(A. baumannii) is a non fermantative gram negative coccobacillus that may cause hospital infections with difficultiesin treatment high mortality rates due to its ability to have multiple drug resistance. During recent years, resistanceto a lot of antimicrobials including carbapenems in A.baumannii strains results in problems in treatment. Antibioticcombinations are suggested in the treatment of infections caused by multi-drug resistant A. baumannii strains. Postoperative mediastinitis is a rare condition with a high mortality rate. The combination of rifampicin and colistin is anappropriate treatment choice in case of mediastinitis caused by multi-drug resistant A. baumannii. In this case report,we describe a patient who experienced mediastinitis due to A. baumannii infection after coronary artery bypass surgery that was successfully treated with rifampicin and colistin combination.

Özet

Acinetobacter baumannii (A. baumannii) çoklu ilaç direnci göstermesi nedeniyle tedavisinde sorunlar yaşananve mortalite oranı yüksek hastane enfeksiyonlarına neden olabilen gram negatif nonfermentatif kokobasildir. Sonyıllarda A.baumannii suşlarında karbapenemler dahil birçok antibiyotik grubuna karşı direnç görülmesi tedavideönemli sorunlara yol açmaktadır. Çoklu ilaca dirençli A. baumanniinin neden olduğu enfeksiyonların tedavisindeçeşitli antibiyotik kombinasyonları önerilmektedir. Postoperatif mediastinit nadir görülen bir komplikasyon olupmortalite oranı yüksektir. Çok ilaca dirençli Acinetobacter baumanniinin neden olduğu mediastinitin tedavisinderifampisin ve kolistin kombinasyonu uygun bir tedavi seçeneğidir. Bu yazıda koroner arter bypass ameliyatı sonrası Acinetobacter baumannii mediastiniti gelişen, kolistin ve rifampisinkombinasyonu ile tedavi başarısı sağlanan bir olgu sunuldu.

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Cite This Article

ALTIN, N., KATIRCIOĞLU, S. F., YAPAR, G. T., BAYRAKTAROĞLU, M. S., ŞENCAN, İ., CESUR, S. (2022). A Case of Mediastinitis Due To Multidrug Resistant Acinetobacter Baumannii Recovered With Combined Antibiotic Therapy. Ortadoğu Tıp Dergisi, Cilt: 6 - Sayı: 1, 54–57. https://ajindex.com/articles/585870

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