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管理所有基因型知识:处理不同耐碳青霉烯类抗生素的定植患者。

Managing All the Genotypic Knowledge: Approach to a Septic Patient Colonized by Different with Unique Carbapenemases.

机构信息

Division of Infectious Diseases and International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA

Division of Infectious Diseases and International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.

出版信息

Antimicrob Agents Chemother. 2019 Jul 25;63(8). doi: 10.1128/AAC.00029-19. Print 2019 Aug.

DOI:10.1128/AAC.00029-19
PMID:31345843
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6658741/
Abstract

The recent development of new antimicrobials active against carbapenemase-producing (CPE) has brought new hope for the treatment of infections due to these organisms. However, the evolving epidemiology of bacteria with carbapenemases may complicate management, as providers are faced with treating patients colonized by bacteria producing multiple carbapenemases. Here, we present the clinical course and treatment of bacteremia in a cirrhotic patient known to be colonized with both - and -carrying organisms.

摘要

最近开发出了一些新型针对产碳青霉烯酶(CPE)的抗菌药物,为治疗这些病原体引起的感染带来了新的希望。然而,具有碳青霉烯酶的细菌的流行病学正在不断演变,这可能会使治疗变得复杂,因为临床医生需要治疗那些定植了产多种碳青霉烯酶细菌的患者。在这里,我们介绍了一位已知定植有携带 - 和 - 碳青霉烯酶的生物体的肝硬化患者的菌血症临床病程和治疗情况。

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Antimicrob Agents Chemother. 2019 Jul 25;63(8). doi: 10.1128/AAC.00029-19. Print 2019 Aug.
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本文引用的文献

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Clinical characteristics and prognosis of infections caused by OXA-48 carbapenemase-producing Enterobacteriaceae in patients treated with ceftazidime-avibactam.产 OXA-48 碳青霉烯酶肠杆菌科细菌感染患者应用头孢他啶-阿维巴坦治疗的临床特征和预后
Int J Antimicrob Agents. 2019 Apr;53(4):520-524. doi: 10.1016/j.ijantimicag.2018.11.015. Epub 2018 Nov 22.
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First Report of an OXA-48- and CTX-M-213-Producing Kluyvera Species Clone Recovered from Patients Admitted in a University Hospital in Madrid, Spain.首例产 OXA-48 和 CTX-M-213 型酶的克吕沃尔菌属克隆株的报告,该克隆株从西班牙马德里一家大学附属医院的患者中分离得到。
Antimicrob Agents Chemother. 2018 Oct 24;62(11). doi: 10.1128/AAC.01238-18. Print 2018 Nov.
3
Treatment of Infections by OXA-48-Producing Enterobacteriaceae.产 OXA-48 肠杆菌科细菌感染的治疗。
Antimicrob Agents Chemother. 2018 Oct 24;62(11). doi: 10.1128/AAC.01195-18. Print 2018 Nov.
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Ceftazidime/Avibactam, Meropenem/Vaborbactam, or Both? Clinical and Formulary Considerations.头孢他啶/阿维巴坦、美罗培南/维巴坦还是两者皆有?临床和处方考虑。
Clin Infect Dis. 2019 Jan 18;68(3):519-524. doi: 10.1093/cid/ciy576.
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