Carbapenem-alternative strategies for complicated urinary tract infections: A systematic review of randomized controlled trials

•Frequent use of carbapenem increases selection of carbapenem resistant Enterobacterales.•To alleviate this, we reviewed alternative strategies against complicated urinary tract infection.•In sixteen randomized controlled trials, twelve carbapenem-alternatives were investigated.•Four empirical and o...

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Veröffentlicht in:The Journal of infection 2020-10, Vol.81 (4), p.499-509
Hauptverfasser: ten Doesschate, T., van der Vaart, T.W., Damen, J.A.A., Bonten, M.J.M., van Werkhoven, C.H.
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Sprache:eng
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Zusammenfassung:•Frequent use of carbapenem increases selection of carbapenem resistant Enterobacterales.•To alleviate this, we reviewed alternative strategies against complicated urinary tract infection.•In sixteen randomized controlled trials, twelve carbapenem-alternatives were investigated.•Four empirical and one pathogen-directed strategies are reasonable alternatives to carbapenem. Graphical abstract [Display omitted]
ISSN:0163-4453
1532-2742
DOI:10.1016/j.jinf.2020.08.008