Activity of carbapenems and tigecycline against ESBL-producing Escherichia coli and Klebsiella spp.

ABSTRACT The indiscriminate use of carbapenems in the fight against multidrug resistant Gram-negative bacteria leads to the emergence of resistance to these antimicrobial agents. We examine the in vitro activity of carbapenems and tigecycline against ESBL-producing E. coli and Klebsiella spp. isolat...

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Bibliographic Details
Main Authors: Caio Fernando de Oliveira, Fernando Ferrugem, Renan V. Schmidt, Daniel Prá, Jorge André Horta
Format: Article
Language:English
Published: Sociedade Brasileira de Patologia Clínica 2018-02-01
Series:Jornal Brasileiro de Patologia e Medicina Laboratorial
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442018000100034&tlng=en
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Summary:ABSTRACT The indiscriminate use of carbapenems in the fight against multidrug resistant Gram-negative bacteria leads to the emergence of resistance to these antimicrobial agents. We examine the in vitro activity of carbapenems and tigecycline against ESBL-producing E. coli and Klebsiella spp. isolated in a single hospital at two different periods eight years apart. Overall resistance to carbapenems ranged from 18.7% in 2007 to 19.1% in 2015/2016. We found no isolates resistant to tigecycline, but two intermediary profiles in the 2015/2016 period. Tigecycline is an important option for treating multidrug resistant Gram-negative infections and helps in the fight against global dissemination of resistance to carbapenems.
ISSN:1678-4774