作者
Belén Gutiérrez-Gutiérrez, Elena Salamanca, Marina de Cueto, Po-Ren Hsueh, Pierluigi Viale, José Ramón Paño-Pardo, Mario Venditti, Mario Tumbarello, George Daikos, Rafael Cantón, Yohei Doi, Felipe Francisco Tuon, Ilias Karaiskos, Elena Pérez-Nadales, Mitchell J Schwaber, Özlem Kurt Azap, Maria Souli, Emmanuel Roilides, Spyros Pournaras, Murat Akova, Federico Pérez, Joaquín Bermejo, Antonio Oliver, Manel Almela, Warren Lowman, Benito Almirante, Robert A Bonomo, Yehuda Carmeli, David L Paterson, Alvaro Pascual, Jesús Rodríguez-Baño, MD del Toro, J Gálvez, M Falcone, A Russo, H Giamarellou, EM Trecarichi, AR Losito, E García-Vázquez, A Hernández, J Gómez, G Bou, E Iosifidis, N Prim, F Navarro, B Mirelis, A Skiada, J Origüen, R San Juan, M Fernández-Ruiz, N Larrosa, M Puig-Asensio, JM Cisneros, J Molina, V González, V Rucci, E Ruiz de Gopegui, CI Marinescu, L Martínez-Martínez, MC Fariñas, ME Cano, M Gozalo, M Mora-Rillo, C Navarro-San Francisco, C Peña, S Gómez-Zorrilla, F Tubau, A Tsakris, O Zarkotou, A Antoniadou, G Poulakou, J Pitout, D Virmani, J Torre-Cisneros, J Guzmán-Puche, Ö Helvaci, AO Sahin, V Pintado, P Ruiz, M Bartoletti, M Giannella, E Tacconelli, F Riemenschneider, E Calbo, C Badia, M Xercavins, O Gasch, D Fontanals, E Jové
发表日期
2017/7/1
期刊
The Lancet Infectious Diseases
卷号
17
期号
7
页码范围
726-734
出版商
Elsevier
简介
Background
The best available treatment against carbapenemase-producing Enterobacteriaceae (CPE) is unknown. The objective of this study was to investigate the effect of appropriate therapy and of appropriate combination therapy on mortality of patients with bloodstream infections (BSIs) due to CPE.
Methods
In this retrospective cohort study, we included patients with clinically significant monomicrobial BSIs due to CPE from the INCREMENT cohort, recruited from 26 tertiary hospitals in ten countries. Exclusion criteria were missing key data, death sooner than 24 h after the index date, therapy with an active antibiotic for at least 2 days when blood cultures were taken, and subsequent episodes in the same patient. We compared 30 day all-cause mortality between patients receiving appropriate (including an active drug against the blood isolate and started in the first 5 days after infection) or inappropriate therapy …
引用总数
20162017201820192020202120222023202431758899075825117