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Case report
Ventilator-associated pneumonia due to carbapenem-resistant Providencia rettgeri
  1. Nupur B Patel,
  2. Gaurav Jain,
  3. Saurabh Chandrakar and
  4. Beeraling Ningappa Walikar
  1. Department of Anesthesia and Critical Care, AIIMS Rishikesh, Rishikesh, India
  1. Correspondence to Dr Nupur B Patel; nupurbpatel{at}yahoo.co.in

Abstract

Ventilator-associated pneumonia (VAP) is one of the leading cause of mortality and morbidity in critically ill patients on mechanical ventilation. We report a case of VAP caused by Providencia rettgeri in a postoperative 58-year-old man with prepyloric perforation. The patient’s ICU stay was complicated by VAP. As the organism was carbapenem resistant, high-dose extended infusion of meropenem along with cefepime was started. Early identification and treatment helped in successful weaning of the patient from the ventilator. Providencia is an emerging nosocomial pathogen with an increase in resistance pattern. This case highlights the rarity and importance of Providencia as a cause of VAP.

  • anaesthesia
  • respiratory medicine

https://doi.org/10.1136/bcr-2021-243908

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    Footnotes

    • Contributors NBP: writing the report. GJ: helped in writing and drafting. SC: helped in writing and drafting. BNW: helped in writing and drafting.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.