Clinical Scorecard: Case Study: Bloodstream Infection from Multidrug-Resistant Leclercia adecarboxylata Associated with Catheter Use in a Patient with Colon Cancer
At a Glance
Category
Detail
Condition
Catheter-associated bloodstream infection caused by multidrug-resistant Leclercia adecarboxylata
Key Mechanisms
Target Population
Care Setting
Key Highlights
Patient developed high fever and chills post-surgery, indicating severe infection.
Treatment was switched to meropenem after 4 days of ineffective cefoperazone-sulbactam, leading to clinical improvement.
Guideline-Based Recommendations
Diagnosis
Management
Empirical treatment should be guided by antimicrobial sensitivity tests, specifically for multidrug-resistant strains.
Monitoring & Follow-up
Risks
Patient & Prescribing Data
71-year-old male with colon cancer and catheter use.
Meropenem was effective after initial treatment failure with cefoperazone-sulbactam.
Clinical Best Practices
Conduct antimicrobial susceptibility testing for effective treatment.
Consider catheter removal in cases of catheter-associated infections to reduce infection risk.
