Antimicrobial treatment of monomicrobial phenotypic carbapenem-resistant Klebsiella pneumoniae bacteremia: Two are better than one

Autor: Wen-Chia Tsai, Ling-Shan Syue, Wen-Chien Ko, Ching-Lung Lo, Nan-Yao Lee
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Microbiology, Immunology and Infection, Vol 55, Iss 6, Pp 1219-1228 (2022)
Druh dokumentu: article
ISSN: 1684-1182
DOI: 10.1016/j.jmii.2021.09.002
Popis: Backgrounds: Infections caused by carbapenem-resistant Klebsiella pneumoniae (CRKP) are emerging worldwide. The optimal treatment for CRKP infections is challenging for clinicians because therapeutic agents are greatly limited. Material and methods: A retrospective study of CRKP monomicrobial bacteremia was conducted at a medical center between 2010 and 2016. The use of at least one or more drugs with in vitro activity against the blood isolates was defined as appropriate combination therapy. The logistic regression model and propensity score analysis was used to assess clinical effects of therapeutic strategies. The 30-day crude mortality was the primary end point. Results: Two hundred and three patients were eligible and the 30-day mortality rate was 37.9% (77 patients). As compared with monotherapy, empirical (11.6 vs. 57.3%, p
Databáze: Directory of Open Access Journals