Carbapenem therapy for bacteremia due to extended-spectrum β-lactamase-producing Escherichia coli or Klebsiella pneumoniae

Diagn Microbiol Infect Dis. 2011 May;70(1):150-3. doi: 10.1016/j.diagmicrobio.2010.12.008. Epub 2011 Mar 12.

Abstract

For 244 patients with bacteremia due to extended-spectrum β-lactamase (ESBL)-producing Escherichia coli or Klebsiella pneumoniae treated by ertapenem (73, 29.9%) or either imipenem or meropenem (171, 70.1%), the therapeutic efficacy was evaluated. Ertapenem therapy was effective for patients with ESBL-producing E. coli or K. pneumoniae bacteremia in terms of mortality and microbiological responses, as compared with imipenem or meropenem.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage
  • Bacteremia / drug therapy*
  • Bacteremia / microbiology
  • Carbapenems / administration & dosage*
  • Ertapenem
  • Escherichia coli / enzymology*
  • Escherichia coli / isolation & purification
  • Escherichia coli Infections / drug therapy*
  • Escherichia coli Infections / microbiology
  • Female
  • Humans
  • Imipenem / administration & dosage
  • Klebsiella Infections / drug therapy*
  • Klebsiella Infections / microbiology
  • Klebsiella pneumoniae / enzymology*
  • Klebsiella pneumoniae / isolation & purification
  • Male
  • Meropenem
  • Middle Aged
  • Thienamycins / administration & dosage
  • Treatment Outcome
  • beta-Lactamases / biosynthesis*
  • beta-Lactams / administration & dosage

Substances

  • Anti-Bacterial Agents
  • Carbapenems
  • Thienamycins
  • beta-Lactams
  • Imipenem
  • beta-Lactamases
  • Meropenem
  • Ertapenem