177.4 📌 章末速蚘

  • Stenotrophomonas maltophilia: oxidase neg, intrinsic MDR, TMP-SMX 驖遾
  • Burkholderia cepacia complex: CF colonization + “cepacia syndrome”; lung tx contraindication; AST-driven
  • B. pseudomallei (Melioidosis): Thailand/N Australia, DM 高 risk, “great mimicker”; 2 phases — ceftazidime/mero IV ≥ 2 wk → TMP-SMX × 12 wk eradication
  • B. mallei (Glanders): equine zoonosis, bioterror, 同 tx
  • Climate change: melioidosis expanding tropics
  • Stenotroph 治療: TMP-SMX > minocycline > levo > cefiderocol
  • Cepacia complex CF: meropenem + TMP-SMX combo
  • 旅遊 returnee + DM + sepsis + abscess → 考 melioidosis