Kaeuffer Charlotte, Ruge Tiffany, Diancourt Laure, Romain Benoît, Ruch Yvon, Jaulhac Benoît, Boyer Pierre H
Department of Infectious Disease, Strasbourg University Hospital, 67000 Strasbourg, France.
Laboratory of Bacteriology, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.
Antibiotics (Basel). 2021 Mar 19;10(3):319. doi: 10.3390/antibiotics10030319.
Multidrug resistant (MDR) bacteria are increasingly observed in nosocomial and community-acquired settings. Anaerobes are no exception to this rule, but there are fewer reports of MDR in the scientific literature on anaerobes than there are for other bacteria. In this short case report, we describe the first case of bacteraemia caused by a multidrug-resistant , which produces a carbapenemase encoded by the gene. This bacteraemia followed a digestive surgery operation. Surprisingly, these findings did not lead to a change in antibiotic therapy, probably because the patient's clinical state had improved. Nevertheless this report calls for better knowledge of anaerobic bacteria and for a systematic antimicrobial stewardship procedure following bacteraemia.
在医院和社区获得性感染环境中，多重耐药（MDR）细菌越来越常见。厌氧菌也不例外，但与其他细菌相比，科学文献中关于厌氧菌多重耐药的报道较少。在本简短病例报告中，我们描述了首例由一株产生由 基因编码的碳青霉烯酶的多重耐药菌引起的菌血症病例。该菌血症发生在一次消化外科手术后。令人惊讶的是，这些发现并未导致抗生素治疗方案的改变，可能是因为患者的临床状况已有所改善。尽管如此，本报告呼吁提高对厌氧菌的认识，并在菌血症发生后实施系统的抗菌药物管理程序。
