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产碳青霉烯酶菌株中头孢他啶-阿维巴坦耐药的出现及碳青霉烯类药物敏感性的恢复:一例报告及文献综述

Emergence of Ceftazidime-Avibactam Resistance and Restoration of Carbapenem Susceptibility in Carbapenemase-Producing : A Case Report and Review of Literature.

作者信息

Shields Ryan K, Nguyen M Hong, Press Ellen G, Chen Liang, Kreiswirth Barry N, Clancy Cornelius J

机构信息

Department of Medicine, University of Pittsburgh, Pennsylvania.

XDR Pathogen Laboratory, University of Pittsburgh Medical Center, Pennsylvania.

出版信息

Open Forum Infect Dis. 2017 Jul 1;4(3):ofx101. doi: 10.1093/ofid/ofx101. eCollection 2017 Summer.

DOI:10.1093/ofid/ofx101
PMID:28685153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5493938/
Abstract

We used meropenem to successfully treat a patient with bacteremia due to ceftazidime-avibactam-resistant, meropenem- susceptible that carried mutant . Meropenem was bactericidal against ceftazidime-avibactam- resistant isolates in vitro. Nevertheless, the role of carbapenems in treating such infections remains uncertain, because meropenem resistance is selected readily during passage experiments.

摘要

我们使用美罗培南成功治疗了一名因对头孢他啶-阿维巴坦耐药但对美罗培南敏感且携带突变体而发生菌血症的患者。美罗培南在体外对头孢他啶-阿维巴坦耐药菌株具有杀菌作用。然而,碳青霉烯类药物在治疗此类感染中的作用仍不确定,因为在传代实验过程中美罗培南耐药性很容易被筛选出来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1ed/5493938/2cfa1c4521a6/ofx10102.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1ed/5493938/a347afdb9236/ofx10101.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1ed/5493938/2cfa1c4521a6/ofx10102.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1ed/5493938/a347afdb9236/ofx10101.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1ed/5493938/2cfa1c4521a6/ofx10102.jpg

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2
Mutations in That Confer Ceftazidime-Avibactam Resistance Encode Novel KPC-3 Variants That Function as Extended-Spectrum β-Lactamases.赋予头孢他啶-阿维巴坦耐药性的突变编码新型KPC-3变体,其作为超广谱β-内酰胺酶发挥作用。
Antimicrob Agents Chemother. 2017 Apr 24;61(5). doi: 10.1128/AAC.02534-16. Print 2017 May.
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