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Table 3 Individual characteristics, diagnostic results and outcome of the suspected cases of commensal oropharyngeal flora caused hospital-acquired pneumonia and community-acquired pneumonia

From: Ventilator-associated Pneumonia caused by commensal oropharyngeal Flora: a retrospective Analysis of a prospectively collected Database

Case

Sex

Admission indication

BAL fluid analysis

Endotracheal aspirate Semiquantitativly

Antibiotic treatment (days [0 = diagnose])

Additional characteristics

Diagnosis

ICU

 

Age

% ICO

BAL fluid culture

MALDI-TOF-MS and re-culturing

LOS

 

% PMN

cfu/ml

(cfu/ml)

Suspected cases of commensal oropharyngeal flora caused hospital-acquired pneumonia

24

M

Respiratory failure

37.4

COF 105

Specimen storage lacking

COF heavy

Piper/tazob −6 -1

Multiple myeloma. Post-mortem exam: CMV pneumonia. Candida spp.

CMV pneumonia

1a

 

65

 

33.0

C. glabrata 103

  

Metronidazole −11 -1

  
       

Fluconazole −11-1

  

25

M

Respiratory failure

0.0

COF 105

No growth

E. coli moderate

None

Immunosuppresive drug after lung transplantation. Ventilator depended after discharge

COF-HAP

182

 

41

 

60.0

  

OF rare

   

26

F

Neurological

4.8

COF > 105

N. subflava 4*102

COF few

Amoxi/clav acid −2 -5

Possible aspiration Post-mortem exam: Indicative for amiodarone induced pneumonitis (AIP)

AIP

10a

 

73

 

63.8

 

S. anginosus 3*102

    
     

S. mitis/oralis 3*102

    
     

H. influenzae 2*102

    

27

M

Hypokalemia

0.0

COF 105

E. faecium 4*104

No growth

Ciprofloxacin −2 -2

Acute myeloid leukemia. RSV ct 20, HSV-1 ct 29

RSV CAP/ E. faecium HAP

29a

 

60

 

96.8

 

S. epidermidis 3*104

 

Piper/tazob −2-18

 
       

Vancomycin 1-26

 

28

M

Respiratory failure

0.0

COF 104

C. jeikeium 5*103

Candida spp.

Piper/tazob −11 -0

B-cel Lymphoma

COF-HAP

16a

 

50

 

11

 

E. faecium 4*103

 

Meropenem 0-16

  

29

M

Respiratory failure

0.0

COF 105

E. faecium 2*104

COF few

Piper/tazob −2 -15

Acute myeloid leukemia

COF-HAP

31a

 

54

 

0.8

   

Vancomycin 4-12

Possible aspiration.

  
        

HSV-1 ct 34

  

Suspected cases of commensal oropharyngeal flora caused community-acquired pneumonia

30

F

Sepsis

0.0

COF 104

No growth

NP

Amoxi/clavc acid 0-1

Metastatic mammacarcinoma

COF-CAP

1a

 

48

 

21.4

   

Ciprofloxacin 0-1

  

31

M

Respiratory failure

0.2

COF 104

A. viscosus

COF rare

Co-trimoxazole −20 -27

Idiopathic CD4 deficiency. ICU admission for BAL only. P. jiroveci ct 24.

PcP

0

 

68

 

32.8

 

R. mucilaginosa

    
     

S. mutans

    
  1. adeceased
  2. Abbreviations, not used in the main text: HSV: Herpes simplex virus; RSV: respiratory syncytial virus