Trimethoprim–sulfamethoxazole therapy for patients with carbapenemase-producing Klebsiella pneumoniae infections: retrospective single-center case series

Springer Science and Business Media LLC - Tập 45 - Trang 209-213 - 2017
Rita Murri1, Barbara Fiori1, Teresa Spanu1, Ilaria Mastrorosa1, Francesca Giovannenze1, Francesco Taccari1, Claudia Palazzolo1, Giancarlo Scoppettuolo1, Giulio Ventura1, Maurizio Sanguinetti1, Roberto Cauda1, Massimo Fantoni1
1Department of Infectious Diseases, Department of Microbiology, Catholic University of Rome, Rome, Italy

Tóm tắt

The objective of the study was to evaluate the efficacy and tolerability of trimethoprim–sulfamethoxazole (also known as co-trimoxazole, TMPS) to treat Klebsiella pneumoniae (Kp)-K. pneumoniae carbapenemase (KPC) infections. Clinical data of patients with a TMPS-susceptible Kp-KPC infection were collected as a case series. We report clinical outcomes and tolerability for 14 patients infected by Kp-KPC strains susceptible to TMPS, including three bloodstream infections. In ten cases (71.4%), TMPS was administered as monotherapy. In all but one case, Kp-KPC infection was cured. In the remaining patient, therapy was discontinued because of an adverse event. The use of TMPS to treat TMPS-susceptible Kp-KPC infections seems promising.

Tài liệu tham khảo

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