CON: Carbapenems are NOT necessary for all infections caused by ceftriaxone-resistant Enterobacterales

被引:19
作者
Rodriguez-Bano, Jesus [1 ,2 ,3 ]
Gutierrez-Gutierrez, Belen [1 ,2 ,3 ]
Pascual, Alvaro [1 ,2 ,4 ]
机构
[1] Hosp Univ Virgen Macarena, Unidad Clin Enfermedades Infecciosas Microbiol &, Seville, Spain
[2] Inst Biomed Sevilla IBiS, Seville, Spain
[3] Univ Seville, Dept Med, Seville, Spain
[4] Univ Seville, Dept Microbiol, Seville, Spain
来源
JAC-ANTIMICROBIAL RESISTANCE | 2021年 / 3卷 / 01期
关键词
BLOOD-STREAM INFECTIONS; ESCHERICHIA-COLI; PIPERACILLIN-TAZOBACTAM; KLEBSIELLA-PNEUMONIAE; EFFICACY; ANTIBIOTICS; SAFETY;
D O I
10.1093/jacamr/dlaa112
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Carbapenems are considered the drugs of choice for the treatment of serious infections caused by ceftriaxoneresistant Enterobacterales. However, because of the dramatic increase in carbapenem-resistant organisms worldwide, finding alternatives to carbapenems is a must. The potential options include beta-lactam/beta-lactamase inhibitor combinations, temocillin, cephamycins and some non-beta-lactamdrugs. The most controversial is piperacillin/tazobactam; the results of the MERINO trial are challenged because the isolates of patients with worse outcomes were frequently not susceptible to piperacillin/tazobactam when studied by reference methods, and also because the drug was not administered in extended infusion. Other potential options are briefly discussed. We conclude that carbapenems are not necessary for all patients with infections caused by ceftriaxone-resistant Enterobacterales.
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页数:4
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