Chryseobacterium spp
- C. anthropi
- C. gleum
- C. hominis
- C. indologenes
- C. treverense
Gram Stain
- Gram negative bacilli - nonfermenter
Clinical Significance
These organisms are found in environmental and water sources and are low level pathogens.
They have been recovered from a variety of clinical sources including blood, dialysis fluid, drains and medical devices but in many cases their clinical significance is uncertain.
C. indologenes - associated with bacteremia, pneumonia, and a variety of nosocomial infections usually medical device related.
Usual Susceptibility Pattern
These organisms are resistant to multiple antibiotics, including aminoglycosides, colistin, and many beta lactam agents.
Piperacillin-tazobactam often remains susceptible.
Carbapenem resistance has been reported.
Minocycline/doxycycline are more active than tetracycline.
Susceptibility to TMP/SMX is variable.
Levofloxacin is more active than ciprofloxacin.
C. indologenes is often resistant to carbapenems, aztreonam, and aminoglycosides.
Susceptibility to ceftazidime, ciprofloxacin, and TMP/SMX is variable.
C. gleum exhibits broad beta lactam resistance including carbapenems.
Empiric Therapy |
---|
Levofloxacin |
or |
TMP/SMX |
or |
Doxycycline |