• Profile
Close

Carbapenem-resistant Enterobacteriaceae: A retrospective review of treatment and outcomes in a long-term acute care hospital

American Journal of Infection Control Aug 24, 2019

Igbinosa O, Dogho P, Osadiaye N. - By having multiple risk factors for carbapenem-resistant Enterobacteriaceae (CRE) colonization and infection, long-term acute care hospitals (LTACHs) have a unique patient population, so researchers conducted this retrospective analysis of their clinical experience treating CRE infections in an LTACH. CRE infection was reported in 57 cases over the study period (12 cases of bacteremia, 20 cases of health care-associated pneumonia, and 25 cases of complicated urinary tract infection/acute pyelonephritis). Patients with CRE infections had substantial comorbidities, mostly diabetes, heart failure, kidney disease, and solid tumors. Nearly all (56 of 57) patients received empiric antibiotics. A total of 78.9% of patients received monotherapy. Despite great concerns regarding the clinical outcome, a relatively better 28-day mortality and rate of eradication of CRE were noted in this study vs other national estimates, though overall outcome was poor, with a 28-day mortality rate of 17.5% across all infection sites that rose to up to 25% in patients with bacteremia. One of the reasons for overall poor treatment outcomes could be inappropriate empiric treatment.

Go to Original
Only Doctors with an M3 India account can read this article. Sign up for free or login with your existing account.
4 reasons why Doctors love M3 India
  • Exclusive Write-ups & Webinars by KOLs

  • Nonloggedininfinity icon
    Daily Quiz by specialty
  • Nonloggedinlock icon
    Paid Market Research Surveys
  • Case discussions, News & Journals' summaries
Sign-up / Log In
x
M3 app logo
Choose easy access to M3 India from your mobile!


M3 instruc arrow
Add M3 India to your Home screen
Tap  Chrome menu  and select "Add to Home screen" to pin the M3 India App to your Home screen
Okay