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Efficacy of ertapenem for treatment of bloodstream infections caused by extended-spectrum-β-lactamase-producing Enterobacteriaceae. Antimicrob Agents Chemother 2012 Apr;56(4):2173-7

Date

02/01/2012

Pubmed ID

22290982

Pubmed Central ID

PMC3318320

DOI

10.1128/AAC.05913-11

Scopus ID

2-s2.0-84858627256 (requires institutional sign-in at Scopus site)   52 Citations

Abstract

Ertapenem is active against extended-spectrum-β-lactamase (ESBL)-producing Enterobacteriaceae organisms but inactive against Pseudomonas aeruginosa and Acinetobacter baumannii. Due to a lack of therapeutic data for ertapenem in the treatment of ESBL bloodstream infections (BSIs), group 2 carbapenems (e.g., imipenem or meropenem) are often preferred for treatment of ESBL-producing Enterobacteriaceae, although their antipseudomonal activity is unnecessary. From 2005 to 2010, 261 patients with ESBL BSIs were analyzed. Outcomes were equivalent between patients treated with ertapenem and those treated with group 2 carbapenems (mortality rates of 6% and 18%, respectively; P = 0.18).

Author List

Collins VL, Marchaim D, Pogue JM, Moshos J, Bheemreddy S, Sunkara B, Shallal A, Chugh N, Eiseler S, Bhargava P, Blunden C, Lephart PR, Memon BI, Hayakawa K, Abreu-Lanfranco O, Chopra T, Munoz-Price LS, Carmeli Y, Kaye KS



MESH terms used to index this publication - Major topics in bold

Aged
Anti-Bacterial Agents
Cohort Studies
Cross Infection
Drug Resistance, Bacterial
Enterobacteriaceae
Enterobacteriaceae Infections
Escherichia coli Infections
Female
Humans
Klebsiella Infections
Klebsiella pneumoniae
Male
Microbial Sensitivity Tests
Middle Aged
Treatment Outcome
beta-Lactamases
beta-Lactams