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

被引:45
作者
Cobo, Javier [1 ]
Morosini, Maria-Isabel [2 ,3 ]
Pintado, Vicente [1 ]
Tato, Marta [2 ]
Samaranch, Noemi
Baquero, Fernando [2 ,3 ]
Canton, Rafael [3 ]
机构
[1] Hosp Univ Ramon & Cajal, Serv Enfermedades Infecc, Madrid 28034, Spain
[2] Hosp Univ Ramon & Cajal, Microbiol Serv, Madrid 28034, Spain
[3] CIBER ESP, Madrid 28034, Spain
关键词
tigecycline; Bacteremia; K; pneumoniae; metallo-beta-lactamase;
D O I
10.1016/j.diagmicrobio.2007.09.017
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
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-beta-lactamase (VIM-1) and an extended-spectrum beta-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. (c) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:319 / 322
页数:4
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