Pseudomonas aeruginosa: Difference between revisions

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Pseudomonas aeruginosa
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= Microbiology =
== Microbiology ==


* Oxidase-positive, non-fermenting Gram negative bacillus
* Oxidase-positive, non-fermenting Gram negative bacillus


= Mechanisms of Resistance =
== Mechanisms of Resistance ==


* Broad intrinsic and acquired antibiotic resistance
* Broad intrinsic and acquired antibiotic resistance
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* Plasmid sharing
* Plasmid sharing


= Environment and Infections =
== Environment and Infections ==


* Loves moist and wet environments
* Loves moist and wet environments
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** Especially common in cystic fibrosis
** Especially common in cystic fibrosis


= Treatment =
== Treatment ==


* See [[Antipseudomonal antibiotics]]
* See [[Antipseudomonal antibiotics]]

Revision as of 15:25, 17 August 2019

Microbiology

  • Oxidase-positive, non-fermenting Gram negative bacillus

Mechanisms of Resistance

  • Broad intrinsic and acquired antibiotic resistance
  • Membrane impermeability
  • MexAB-OprM efflux pump
  • Acquired mutations
  • Inducible AmpC β-lactamase
  • Plasmid sharing

Environment and Infections

  • Loves moist and wet environments
  • Causes healthcare-associated infections
    • UTI, SSI, bacteremia, HAP, VAP
    • Especially common in cystic fibrosis

Treatment

  • See Antipseudomonal antibiotics
  • Double coverage (ß-lactam + non-ß-lactam) in cases of severe infection in order to ensure activity against the infection