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Evolution, control and success of combination therapy with Ampicilin-sulbactam/Ceftazidime-Avibactam during a Carbapenem-Resistant Acinetobacter baumannii outbreak in burn Intensive Care Unit.
- Source :
-
European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology [Eur J Clin Microbiol Infect Dis] 2024 Jul; Vol. 43 (7), pp. 1453-1459. Date of Electronic Publication: 2024 Apr 27. - Publication Year :
- 2024
-
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 <subscript>OXA-23</subscript> and armA resistance genes. Despite the lack of clinical cure, all five infected patients survived and were discharged from the Burn Intensive Care Unit.<br /> (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
- Subjects :
- Humans
Male
Female
Middle Aged
Adult
Burns complications
Burns microbiology
Drug Therapy, Combination
Treatment Outcome
Aged
Cross Infection microbiology
Cross Infection drug therapy
Cross Infection epidemiology
Drug Resistance, Multiple, Bacterial genetics
beta-Lactamases genetics
Burn Units
Acinetobacter baumannii drug effects
Acinetobacter baumannii genetics
Acinetobacter baumannii isolation & purification
Acinetobacter Infections drug therapy
Acinetobacter Infections microbiology
Acinetobacter Infections epidemiology
Disease Outbreaks
Anti-Bacterial Agents therapeutic use
Anti-Bacterial Agents pharmacology
Azabicyclo Compounds therapeutic use
Azabicyclo Compounds pharmacology
Intensive Care Units
Sulbactam therapeutic use
Sulbactam pharmacology
Drug Combinations
Carbapenems pharmacology
Carbapenems therapeutic use
Ceftazidime therapeutic use
Ceftazidime pharmacology
Subjects
Details
- Language :
- English
- ISSN :
- 1435-4373
- Volume :
- 43
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology
- Publication Type :
- Academic Journal
- Accession number :
- 38676856
- Full Text :
- https://doi.org/10.1007/s10096-024-04840-9