![](/images/graphics-bg.png)
First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review
المؤلفون المشاركون
Karri, Kishore
Tripathi, Nishant
Koirala, Niki
Kato, Hirotaka
Singh, Tushi
Thakur, Kshitij
المصدر
Case Reports in Gastrointestinal Medicine
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-11، 11ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-01-16
دولة النشر
مصر
عدد الصفحات
11
التخصصات الرئيسية
الملخص EN
Introduction.
Achromobacter species (spp.) peritonitis has seldom been identified in medical literature.
Scarce cases of Achromobacter peritonitis described previously have been correlated with peritoneal dialysis and more sparingly with spontaneous bacterial peritonitis.
Achromobacter exhibits intrinsic and acquired resistance, especially in chronic infections, to most antibiotics.
This article conducts a literature review of all previously reported Achromobacter spp.
peritonitis and describes the first reported case of Achromobacter peritonitis as a complication of percutaneous endoscopic gastrostomy (PEG) tube placement.
Discussion.
Achromobacter peritonitis as a complication of PEG-tube placement has not been previously reported.
In our patients’ case, the recently placed PEG-tube with ascitic fluid leakage was identified as the most plausible infection source.
Although a rare bacterial peritonitis pathogen, Achromobacter may be associated with wide antimicrobial resistance and unfavorable outcomes.
Conclusion.
No current guidelines provide significant guidance on treatment of PEG-tube peritonitis regardless of microbial etiology.
Infectious Disease Society of America identifies various broad-spectrum antibiotics targeting nosocomial intra-abdominal coverage; some of these antimicrobial selections (such as cefepime and metronidazole combination) may yet be inadequate for widely resistant Achromobacter spp.
Recognizably, the common antibiotics utilized for spontaneous bacterial peritonitis, i.e., third generation cephalosporins and fluoroquinolones, to which Achromobacter is resistant and variably susceptible, respectively, would be extensively insufficient.
Piperacillin/tazobactam (P/T) and carbapenem were identified to provide the most reliable coverage in vitro; clinically, 5 out of the 8 patients who received either P/T or a carbapenem, or both, eventually experienced clinical improvement.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Tripathi, Nishant& Koirala, Niki& Kato, Hirotaka& Singh, Tushi& Karri, Kishore& Thakur, Kshitij. 2020. First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review. Case Reports in Gastrointestinal Medicine،Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1147385
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Tripathi, Nishant…[et al.]. First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review. Case Reports in Gastrointestinal Medicine No. 2020 (2020), pp.1-11.
https://search.emarefa.net/detail/BIM-1147385
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Tripathi, Nishant& Koirala, Niki& Kato, Hirotaka& Singh, Tushi& Karri, Kishore& Thakur, Kshitij. First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review. Case Reports in Gastrointestinal Medicine. 2020. Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1147385
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1147385
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
![](/images/ebook-kashef.png)
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
![](/images/kashef-image.png)