Providencia: Difference between revisions

style="background:#Template:Taxobox colour;"\|Providencia
	; Providencia alcalifaciens
style="background:#Template:Taxobox colour;" \| Scientific classification
Kingdom:	Bacteria;
Phylum:	Proteobacteria;
Class:	Gammaproteobacteria;
Order:	Enterobacteriales;
Family:	Enterobacteriaceae;
Genus:	Providencia; Ewing 1962
Species
	P. stuartii; P. sneebia; P. rettgeri; P. rustigianii; P. heimbachae; P. burhodogranariea; P. alcalifaciens

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Revision as of 20:30, 28 July 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Providencia is a Gram negative, motile bacterium of the family Enterobacteriaceae. Some strains (P. stuartii, for example) are opportunistic pathogens in humans and can cause urinary tract infections, particularly in patients with long-term indwelling urinary catheters or extensive severe burns. Other strains (for example P. burhodogranariea and P. sneebia) are found in the haemolymph of Drosophila melanogaster fruit flies.

Some strains are sensitive to ampicillin.

Antimicrobial regimen

Providencia^[1]

1. Complicated uti/bacteremia/acute prostatitis

Preferred regimen (1): Ciprofloxacin 500-750 mg PO q12h or 400 mg IV q8-12h
Preferred regimen (2): Levofloxacin 500 mg IV/PO q24h
Preferred regimen (3): Piperacillin-Tazobactam 3.375 mg IV q6h
Preferred regimen (4): Ceftriaxone 1-2 g IV q24h (donot use if ESBL suspected or critically ill)
Preferred regimen (5): Meropenem 1 g IV q8h (consider if critically ill or ESBL suspected)
Preferred regimen (6): Amikacin 7.5 mg/kg IV q12h
Preferred regimen (7): Gentamicin
Preferred regimen (8): Tobramycin acceptable if susceptible but many species are resistant
Note (1): Duration of treatment for (UTI) is 7 days common or 3-5 days after defervescence or control/elimination of complicating factors (e.g.,removal of foreign material catheter).
Note (2): Duration of treatment for (bacteremia) is 10-14 days or 3-5 days after defervescence or control/elimination of complicating factors
Note (3): Duration for acute prostatitis (2 weeks), shorter than chronic prostatitis (4-6 weeks)
Alternative regimen: TMP-SMX DS PO q12h for 10-14 days or TMP 5-10 mg/kg/day IV q6h

Gallery

Providencia alcalifaciens bacteria cultured on a blood agar plate (BAP). From Public Health Image Library (PHIL). ^[2]

References

Ryan KJ; Ray CG (editors) (2004). Sherris Medical Microbiology (4th ed. ed.). McGraw Hill. ISBN 0-8385-8529-9.

↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ "Public Health Image Library (PHIL)".

[1] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[PHIL-2] "Public Health Image Library (PHIL)".

[1]

[2]

@@ Line 29: / Line 29: @@
 Some strains are sensitive to [[ampicillin]].
 ===Antimicrobial regimen===
-:*Complicated UTI/Bacteremia/Acute prostatitis<ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:* Providencia<ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
-::*Preferred regimen : [[Ciprofloxacin]] 500-750mg PO q12h or 400 mg IV q8-12h {{or}} [[Levofloxacin]] 500mg IV/PO q24h {{or}} [[Piperacillin]]-[[Tazobactam]] 3.375 mg IV q6h {{or}} [[Ceftriaxone]] 1-2g IV q24h (donot use if ESBL suspected or critically ill){{or}} [[Meropenem]] 1g IV q8h (consider if critically ill or ESBL suspected){{or}}[[Amikacin]] 7.5mg/kg IV q12h
+::* 1. '''Complicated uti/bacteremia/acute prostatitis'''
-{{or}} [[Gentamicin]] {{or}} [[Tobramycin]] acceptable if susceptible but many species are resistant.
+:::* Preferred regimen (1): [[Ciprofloxacin]] 500-750 mg PO q12h or 400 mg IV q8-12h
-::*Note (1) : Duration of treatment for (UTI)is 7days common or 3-5days after defervescence or control/elimination of complicating factors (e.g.,removal of foreign material catheter).
+:::* Preferred regimen (2): [[Levofloxacin]] 500 mg IV/PO q24h
-::*Note (2) : Duration of treatment for (bacteremia)is 10-14days or 3-5days after defervescence or control/elimination of complicatingfactors.
+:::* Preferred regimen (3): [[Piperacillin]]-[[Tazobactam]] 3.375 mg IV q6h
-::*Note (3) : Duration for acute prostatitis(2weeks), shorter than chronic prostatitis(4-6wks)
+:::* Preferred regimen (4): [[Ceftriaxone]] 1-2 g IV q24h (donot use if ESBL suspected or critically ill)
-::*Alternative regimen : [[TMP-SMX]](Bactrim)DS1 PO q12h for 10-14days {{or}} TMP 5-10 mg/kg/day IV q6h.
+:::* Preferred regimen (5): [[Meropenem]] 1 g IV q8h (consider if critically ill or ESBL suspected)
+:::* Preferred regimen (6): [[Amikacin]] 7.5 mg/kg IV q12h
+:::* Preferred regimen (7): [[Gentamicin]]
+:::* Preferred regimen (8): [[Tobramycin]] acceptable if susceptible but many species are resistant
+:::* Note (1): Duration of treatment for (UTI) is 7 days common or 3-5 days after defervescence or control/elimination of complicating factors (e.g.,removal of foreign material catheter).
+:::* Note (2): Duration of treatment for (bacteremia) is 10-14 days or 3-5 days after defervescence or control/elimination of complicating factors
+:::* Note (3): Duration for acute prostatitis (2 weeks), shorter than chronic prostatitis (4-6 weeks)
+:::* Alternative regimen: [[TMP-SMX]] DS PO q12h for 10-14 days or [[TMP]] 5-10 mg/kg/day IV q6h
 ==Gallery==