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在烧伤重症监护病房发生碳青霉烯类耐药鲍曼不动杆菌爆发期间,氨苄西林-舒巴坦/头孢他啶-阿维巴坦联合治疗的演变、控制和成功。

Evolution, control and success of combination therapy with Ampicilin-sulbactam/Ceftazidime-Avibactam during a Carbapenem-Resistant Acinetobacter baumannii outbreak in burn Intensive Care Unit.

机构信息

Department of Anesthesiology and Critical Care and Burn Unit, Assistance Publique-Hôpitaux de Paris (AP-HP), Groupe Hospitalier St Louis- Lariboisière, 1, avenue Claude Vellefaux, Paris, 75010, France.

University of Paris Cité, Paris, France.

出版信息

Eur J Clin Microbiol Infect Dis. 2024 Jul;43(7):1453-1459. doi: 10.1007/s10096-024-04840-9. Epub 2024 Apr 27.

Abstract

We present our findings on interpatient transmission, epidemic control measures, and the outcomes of a series of ten critically ill burn patients who were either colonized or infected with carbapenem-resistant Acinetobacter baumannii (CRAB). None of the five infected patients achieved clinical cure, and all experienced relapses. Microbiological failure was observed in 40% of the infected patients. The isolated CRAB strains were found to carry bla and armA resistance genes. Despite the lack of clinical cure, all five infected patients survived and were discharged from the Burn Intensive Care Unit.

摘要

我们报告了十例重症烧伤患者的耐碳青霉烯鲍曼不动杆菌(CRAB)定植或感染患者的人际传播、流行控制措施和结局。五例感染患者均未达到临床治愈,均复发。40%的感染患者发生微生物学失败。分离的 CRAB 菌株携带 bla 和 armA 耐药基因。尽管临床治愈失败,但所有五例感染患者均存活并从烧伤重症监护病房出院。

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