Department of Infectious Diseases, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Ann Clin Microbiol Antimicrob. 2013 Aug 13;12:19. doi: 10.1186/1476-0711-12-19.
Tigecycline shows great antimicrobial activity against both Gram-positive and Gram-negative bacteria, and has been considered to be an appropriate choice in controlling infection caused by multi-drug resistant (MDR) pathogens, such as carbapenemase-producing Enterobacteriaceae (CPE). Although many clinical trials evaluate the efficacy and safety of tigecycline on adults, rare reports recommend tigecycline to treat pediatric patient. In this study, we presented a clinical case with tigecycline as an anti-infectious agent on a 14-year-old child who was suffering from infection of intraperitoneal abscess caused by Klebsiella pneumoniae carbapenemases (KPC)-producing Escherichia coli with extreme drug resistant profile. By accessing the clinical outcome and efficacy of the patient, and the side effects of tigecycline, our research explored the documented experience of tigecycline on controlling infection caused by CPE isolate in children.
替加环素对革兰氏阳性菌和革兰氏阴性菌均具有强大的抗菌活性,被认为是控制多药耐药(MDR)病原体引起的感染的合适选择,如产碳青霉烯酶肠杆菌科(CPE)。尽管许多临床试验评估了替加环素在成人中的疗效和安全性,但很少有报道推荐替加环素治疗儿科患者。在本研究中,我们报告了一例临床病例,一名 14 岁儿童因感染产碳青霉烯酶肺炎克雷伯菌(KPC)的大肠埃希菌导致腹腔脓肿,对多种药物具有极高耐药性,使用替加环素作为抗感染药物。通过评估患者的临床结局和疗效以及替加环素的副作用,我们的研究探讨了替加环素控制儿童产 CPE 分离株感染的已有经验。