| Literature DB >> 29588357 |
Pranita D Tamma1, Yunfan Fan2, Yehudit Bergman3, Anna C Sick-Samuels4, Alice J Hsu5, Winston Timp2, Patricia J Simner3, Bonnie C Prokesch6, David E Greenberg7,8.
Abstract
We report our clinical experience treating a 2-month-old infant with congenital diaphragmatic hernia who experienced prolonged bacteremia with Burkholderia cepacia complex (Bcc) despite conventional antibiotic therapy and appropriate source control measures. The infection resolved after initiation of ceftazidime-avibactam. Whole-genome sequencing revealed that the isolate most closely resembled B. contaminans and identified the mechanism of resistance that likely contributed to clinical cure with this agent. Ceftazidime-avibactam should be considered salvage therapy for Bcc infections if other treatment options have been exhausted.Entities:
Keywords: Burkholderia cepacia complex; bacteremia; ceftazidime-avibactam; whole-genome sequencing
Mesh:
Substances:
Year: 2018 PMID: 29588357 PMCID: PMC5913954 DOI: 10.1128/AAC.02213-17
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.191