Critical issues for Klebsiella pneumoniae KPC-carbapenemase producing K. pneumoniae infections: a critical agenda

The wide dissemination of carbapenemase producing K. pneumoniae (KPC-Kp) has caused a public health crisis of global dimensions, due to the serious infections in hospitalized patients associated with high mortality. In 2014, we aim to review clinical data on KPC-Kp at a time when a pro-active strate...

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Veröffentlicht in:Future microbiology 2015-02, Vol.10 (2), p.283-294
Hauptverfasser: De Rosa, Francesco G, Corcione, Silvia, Cavallo, Rossana, Di Perri, Giovanni, Bassetti, Matteo
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container_end_page 294
container_issue 2
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container_title Future microbiology
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creator De Rosa, Francesco G
Corcione, Silvia
Cavallo, Rossana
Di Perri, Giovanni
Bassetti, Matteo
description The wide dissemination of carbapenemase producing K. pneumoniae (KPC-Kp) has caused a public health crisis of global dimensions, due to the serious infections in hospitalized patients associated with high mortality. In 2014, we aim to review clinical data on KPC-Kp at a time when a pro-active strategy (combating the problem before it is established) is no longer useful, focusing on epidemiology, patient risk profile, infection control, digestive tract colonization and treatment issues such as the role of carbapenems or carbapenem sparing strategies, colistin and resistance, dual carbapenem administration and the role of tigecycline. All these issues are illustrated prospectively to provide a forum for a Consensus strategy when not only intensive care units but also medical and surgical wards are affected by the epidemics.
doi_str_mv 10.2217/fmb.14.121
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subjects Anti-Bacterial Agents - therapeutic use
Bacterial Proteins - biosynthesis
beta-Lactamases - biosynthesis
Carbapenems - therapeutic use
Care and treatment
Colistin - therapeutic use
Cross Infection - drug therapy
Cross Infection - epidemiology
Drug Therapy, Computer-Assisted
Epidemiology
Hospitals
Humans
Infection Control
Klebsiella
Klebsiella infections
Klebsiella Infections - drug therapy
Klebsiella Infections - epidemiology
Klebsiella Infections - microbiology
Klebsiella pneumoniae - drug effects
Klebsiella pneumoniae - enzymology
Microbiological research
Minocycline - analogs & derivatives
Minocycline - therapeutic use
Mortality
Prevention
Risk Factors
Studies
title Critical issues for Klebsiella pneumoniae KPC-carbapenemase producing K. pneumoniae infections: a critical agenda
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