Use of tigecycline for the treatment of prolonged bacteremia due to a multiresistant VIM-1 and SHV-12 β-lactamase–producing Klebsiella pneumoniae epidemic clone

Abstract We report the use of tigecycline, firstly with colistin and finally alone, in a patient with a persistent breakthrough bacteremia due to a Klebsiella pneumoniae isolate harboring a metallo-β-lactamase (VIM-1) and an extended-spectrum β-lactamase (SHV-12). Time-kill studies demonstrated that...

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Veröffentlicht in:Diagnostic microbiology and infectious disease 2008-03, Vol.60 (3), p.319-322
Hauptverfasser: Cobo, Javier, Morosini, María-Isabel, Pintado, Vicente, Tato, Marta, Samaranch, Noemí, Baquero, Fernando, Cantón, Rafael
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container_end_page 322
container_issue 3
container_start_page 319
container_title Diagnostic microbiology and infectious disease
container_volume 60
creator Cobo, Javier
Morosini, María-Isabel
Pintado, Vicente
Tato, Marta
Samaranch, Noemí
Baquero, Fernando
Cantón, Rafael
description Abstract We report the use of tigecycline, firstly with colistin and finally alone, in a patient with a persistent breakthrough bacteremia due to a Klebsiella pneumoniae isolate harboring a metallo-β-lactamase (VIM-1) and an extended-spectrum β-lactamase (SHV-12). Time-kill studies demonstrated that the combination of both compounds was synergistic along the first 12 h, suppressing the regrowth observed after 3 to 6 h when colistin was tested alone.
doi_str_mv 10.1016/j.diagmicrobio.2007.09.017
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identifier ISSN: 0732-8893
ispartof Diagnostic microbiology and infectious disease, 2008-03, Vol.60 (3), p.319-322
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1879-0070
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subjects Aged
Anti-Bacterial Agents - therapeutic use
Bacteremia
Bacteremia - drug therapy
Bacterial diseases
Bacterial sepsis
Bacteriology
beta-Lactamases - biosynthesis
Biological and medical sciences
Colistin - therapeutic use
Drug Synergism
Drug Therapy, Combination
Fundamental and applied biological sciences. Psychology
Human bacterial diseases
Humans
Infectious Disease
Infectious diseases
Internal Medicine
K. pneumoniae
Klebsiella Infections - drug therapy
Klebsiella pneumoniae
Klebsiella pneumoniae - drug effects
Klebsiella pneumoniae - enzymology
Male
Medical sciences
Metallo-β-lactamase
Microbial Sensitivity Tests
Microbial Viability
Microbiology
Minocycline - analogs & derivatives
Minocycline - therapeutic use
Miscellaneous
Tigecycline
title Use of tigecycline for the treatment of prolonged bacteremia due to a multiresistant VIM-1 and SHV-12 β-lactamase–producing Klebsiella pneumoniae epidemic clone
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