Efficacy of Ertapenem for Treatment of Bloodstream Infections Caused by Extended-Spectrum-β-Lactamase-Producing Enterobacteriaceae

被引:49
作者
Collins, Vicki L. [1 ]
Marchaim, Dror [1 ]
Pogue, Jason M. [2 ]
Moshos, Judy [1 ]
Bheemreddy, Suchitha [1 ]
Sunkara, Bharath [1 ]
Shallal, Alex [1 ]
Chugh, Neelu [1 ]
Eiseler, Sara [1 ]
Bhargava, Pragati [1 ]
Blunden, Christopher [1 ]
Lephart, Paul R. [3 ]
Memon, Babar Irfan [1 ]
Hayakawa, Kayoko [1 ]
Abreu-Lanfranco, Odaliz [1 ]
Chopra, Teena [1 ]
Munoz-Price, L. Silvia [4 ,5 ]
Carmenli, Yehuda [6 ]
Kaye, Keith S. [1 ]
机构
[1] Wayne State Univ, Detroit Med Ctr, Div Infect Dis, Detroit, MI 48202 USA
[2] Wayne State Univ, Detroit Med Ctr, Dept Pharm Serv, Detroit, MI USA
[3] Wayne State Univ, Detroit Med Ctr, Dept Clin Microbiol, Detroit, MI USA
[4] Univ Miami, Dept Med, Div Infect Dis, Miami, FL USA
[5] Univ Miami, Dept Publ Hlth & Epidemiol, Miami, FL USA
[6] Tel Aviv Univ, Tel Aviv Sourasky Med Ctr, Div Epidemiol, IL-69978 Tel Aviv, Israel
关键词
KLEBSIELLA-PNEUMONIAE BACTEREMIA; TRIALS COMPARING ERTAPENEM; RISK-FACTORS; ANTIBIOTIC-THERAPY; MULTICENTER; CEFTRIAXONE; MANAGEMENT; RESISTANCE; IMIPENEM; ADULTS;
D O I
10.1128/AAC.05913-11
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Ertapenem is active against extended-spectrum-beta-lactamase (ESBL)-producing Enterobacteriaceae organisms but inactive against Pseudomonas aeruginosa and Acinetobacter baumannii. Due to a lack of therapeutic data for ertapenem in the treatment of ESBL bloodstream infections (BSIs), group 2 carbapenems (e.g., imipenem or meropenem) are often preferred for treatment of ESBL-producing Enterobacteriaceae, although their antipseudomonal activity is unnecessary. From 2005 to 2010, 261 patients with ESBL BSIs were analyzed. Outcomes were equivalent between patients treated with ertapenem and those treated with group 2 carbapenems (mortality rates of 6% and 18%, respectively; P = 0.18).
引用
收藏
页码:2173 / 2177
页数:5
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