Literature DB >> 35301623

Characteristics and outcomes of carbapenemase harbouring carbapenem-resistant Klebsiella spp. bloodstream infections: a multicentre prospective cohort study in an OXA-48 endemic setting.

Burcu Isler1, Berna Özer2, Güle Çınar3, Abdullah Tarık Aslan4, Cansel Vatansever2, Caitlin Falconer1, İştar Dolapçı5, Funda Şimşek6, Necla Tülek7, Hamiyet Demirkaya8, Şirin Menekşe9, Halis Akalin10, İlker İnanç Balkan11, Mehtap Aydın12, Elif Tükenmez Tigen13, Safiye Koçulu Demir14, Mahir Kapmaz15, Şiran Keske16,17, Özlem Doğan2, Çiğdem Arabacı18, Serap Yağcı19, Gülşen Hazırolan20, Veli Oğuzalp Bakır21, Mehmet Gönen22,16, Mark D Chatfield1, Brian Forde1, Neşe Saltoğlu11, Alpay Azap3, Özlem Azap8, Murat Akova4, David L Paterson1, Füsun Can2,17, Önder Ergönül23,24.   

Abstract

A prospective, multicentre observational cohort study of carbapenem-resistant Klebsiella spp. (CRK) bloodstream infections was conducted in Turkey from June 2018 to June 2019. One hundred eighty-seven patients were recruited. Single OXA-48-like carbapenemases predominated (75%), followed by OXA-48-like/NDM coproducers (16%). OXA-232 constituted 31% of all OXA-48-like carbapenemases and was mainly carried on ST2096. Thirty-day mortality was 44% overall and 51% for ST2096. In the multivariate cox regression analysis, SOFA score and immunosuppression were significant predictors of 30-day mortality and ST2096 had a non-significant effect. All OXA-48-like producers remained susceptible to ceftazidime-avibactam.
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Entities:  

Keywords:  Ceftazidime-avibactam; Klebsiella pneumoniae; OXA-232; OXA-48; ST2096

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Substances:

Year:  2022        PMID: 35301623     DOI: 10.1007/s10096-022-04425-4

Source DB:  PubMed          Journal:  Eur J Clin Microbiol Infect Dis        ISSN: 0934-9723            Impact factor:   3.267


  1 in total

1.  Carbapenemase-producing Enterobacterales: changing epidemiology in a highly endemic Italian area.

Authors:  C Foschi; D Lombardo; P Gaibani; M C Re; S Ambretti
Journal:  J Hosp Infect       Date:  2020-10-27       Impact factor: 3.926

  1 in total
  1 in total

Review 1.  OXA-48-Like β-Lactamases: Global Epidemiology, Treatment Options, and Development Pipeline.

Authors:  Sara E Boyd; Alison Holmes; Richard Peck; David M Livermore; William Hope
Journal:  Antimicrob Agents Chemother       Date:  2022-07-20       Impact factor: 5.938

  1 in total

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