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用头孢他啶-阿维巴坦成功治疗耐碳青霉烯酶所致人工关节感染。

Prosthetic Joint Infection from Carbapenemase-Resistant Successfully Treated with Ceftazidime-Avibactam.

作者信息

Schimmenti A, Brunetti E, Seminari E, Mariani B, Cambieri P, Orsolini P

机构信息

Dipartimento di Scienze Clinico-Chirurgiche, Diagnostiche e Pediatriche, Unità di Malattie Infettive e Tropicali ed Epatologia, Università di Pavia, Pavia, Italy.

Unità di Malattie Infettive e Tropicali, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

出版信息

Case Rep Infect Dis. 2018 Aug 14;2018:1854805. doi: 10.1155/2018/1854805. eCollection 2018.

Abstract

Antimicrobial resistance in Gram-negative bacteria, particularly Enterobacteriaceae, has become a leading cause of morbidity and mortality and a serious public health concern. Gram-negative bacteria carrying extended-spectrum beta-lactamase (ESBL) enzymes now represent a significant proportion of all bacteria isolated from different countries worldwide. Furthermore, the increasing number of isolates carrying carbapenemases in recent years includes multidrug-resistant (MDR), extensively drug-resistant (XDR), and pandrug-resistant (PDR) bacteria. Here, we describe what, to our knowledge, is the first case of a patient with a prosthetic joint infection from carbapenemase-resistant (CRKP) successfully treated with ceftazidime-avibactam in Italy.

摘要

革兰氏阴性菌,尤其是肠杆菌科细菌的耐药性,已成为发病和死亡的主要原因,并引起了严重的公共卫生问题。携带超广谱β-内酰胺酶(ESBL)的革兰氏阴性菌在全球不同国家分离出的所有细菌中占相当大的比例。此外,近年来携带碳青霉烯酶的分离株数量不断增加,其中包括多重耐药(MDR)、广泛耐药(XDR)和泛耐药(PDR)细菌。在此,据我们所知,我们描述了意大利首例使用头孢他啶-阿维巴坦成功治疗耐碳青霉烯类肺炎克雷伯菌(CRKP)所致人工关节感染的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98b1/6112089/15fb811bdf31/CRIID2018-1854805.001.jpg

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