Pseudomonas aeruginosa: Difference between revisions

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Pseudomonas aeruginosa
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== Background ==
== Background ==
=== Microbiology ===
=== Microbiology ===
* [[Has oxidase test::Oxidase-positive]], non-fermenting [[Has Gram stain::Gram-negative]] [[Has cell shape::bacillus]]
* [[Has oxidase test::Oxidase-positive]], [[Has fermentation::non-fermenting]] [[Has Gram stain::Gram-negative]] [[Has cell shape::bacillus]]


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

Revision as of 14:38, 9 November 2019

Background

Microbiology

Mechanisms of Resistance

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

Epidemiology

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

Treatment

  • Refer to antipseudomonal antibiotics for specific treatment options
  • Double coverage (ß-lactam + non-ß-lactam) in cases of severe infection in order to ensure activity against the infection