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Which of the following would be most appropriate to treat stenotrophomonas maltophilia?
Suggested Answer: D
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Primary treatment for stenotrophomonas maltophilia is SMX-TMP. Meropenem, ciprofloxacin, and vancomycin have no coverage.
24 comments · newest first
LA
Lashawna
2 days ago
Vancomycin won't work here, it's not the right spectrum.
ME
Merlyn
7 days ago
Right, D is the go-to option.
FR
Frank
12 days ago
Meropenem seems strong, but not for this bug.
MA
Malinda
17 days ago
D has solid evidence for treating stenotrophomonas.
LE
Leota
22 days ago
I was leaning towards C, but I see the point about D.
NO
Noe
28 days ago
Agreed, sulfamethoxazole/trimethoprim is effective against it.
ZA
Zana
1 month ago
I think D is the best choice.
CH
Chauncey
1 month ago
Definitely sticking with D for this one!
JA
Jame
1 month ago
Cefepime isn't recommended either.
LA
Laticia
2 months ago
Vancomycin won't help with this bacteria.
FL
Floyd
2 months ago
Ciprofloxacin could work, but not the first line.
SH
Sheron
2 months ago
Meropenem seems too broad for this.
RE
Reita
2 months ago
I read that it's the preferred treatment.
MA
Maia
2 months ago
Yeah, sulfamethoxazole/trimethoprim is effective.
AR
Aretha
2 months ago
I think D is the best choice.
GL
Glynda
3 months ago
100% agree, sulfamethoxazole/trimethoprim is the best choice!
AU
Audrie
3 months ago
Wait, is ciprofloxacin really an option? I’m not so sure.
CO
Cora
3 months ago
Definitely not vancomycin, that’s for sure!
LE
Lenny
3 months ago
I thought meropenem was effective too?
NO
Noah
3 months ago
Sulfamethoxazole/trimethoprim is the go-to for S. maltophilia.
JE
Jerry
4 months ago
I recall that ciprofloxacin can be used for some resistant infections, but I’m leaning towards sulfamethoxazole/trimethoprim based on what we practiced.
MA
Margurite
5 months ago
I’m a bit confused about vancomycin. I know it’s for Gram-positive bacteria, but does it have any effect on Stenotrophomonas?
JE
Jerlene
5 months ago
I feel like sulfamethoxazole/trimethoprim was mentioned in a practice question about this organism. It might be the right choice.
AM
Amie
5 months ago
I think I remember that Stenotrophomonas maltophilia is often resistant to many antibiotics, but I’m not sure if meropenem is effective.