Case series of carbapenemase-producing Enterobacteriaceae osteomyelitis: Feel it in your bones

Autor: B. Davido, L. Noussair, A. Saleh-Mghir, E. Salomon, F. Bouchand, M. Matt, C. Lawrence, T. Bauer, J.L. Herrmann, C. Perronne, J.L. Gaillard, M. Rottman, A. Dinh
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Global Antimicrobial Resistance, Vol 23, Iss , Pp 74-78 (2020)
Druh dokumentu: article
ISSN: 2213-7165
DOI: 10.1016/j.jgar.2020.08.007
Popis: Objectives: Limited data have been reported regarding osteomyelitis due to carbapenemase-producing Enterobacteriaceae (CPE), including co-infections with extended-spectrum β-lactamase (ESBL)-producing micro-organisms. Methods: We conducted a retrospective study in a reference centre for bone and joint infections from 2011 to 2019 among patients infected with CPE. Results: Nine patients (mean age 46.8 ± 16.6 years), including three with infected implants, were identified. Infections were mostly polymicrobial (n = 8/9), including Staphylococcus aureus (n = 6/9). CPE were mainly OXA-48-type, associated with ESBL-producing Enterobacteriaceae (n = 8/9), of which 5/9 isolates were Klebsiella pneumoniae. Control of the infection was achieved in seven cases. Conclusions: CPE osteomyelitides are essentially polymicrobial and fluoroquinolone-resistant infections, highlighting the need for efficient surgery with implant removal.
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