Academic Journal

Carbapenem stewardship with ertapenem and antimicrobial resistance-a scoping review

التفاصيل البيبلوغرافية
العنوان: Carbapenem stewardship with ertapenem and antimicrobial resistance-a scoping review
المؤلفون: Zequinão, Tiago, Telles, João Paulo, Gasparetto, Juliano, Tuon, Felipe Francisco
المصدر: Revista da Sociedade Brasileira de Medicina Tropical. January 2020 53
بيانات النشر: Sociedade Brasileira de Medicina Tropical - SBMT, 2020.
سنة النشر: 2020
مصطلحات موضوعية: Antimicrobial stewardship, Ertapenem, Carbapenem-sparing
الوصف: Consumption of carbapenem has increased due to extended-spectrum beta-lactamase-producing bacteria spreading. Ertapenem has been suggested as a not carbapenem-resistance inducer. We performed a scoping review of carbapenem-sparing stewardship with ertapenem and its impact on the antibiotic resistance of Gram-negative bacilli. We searched PubMed for studies that used ertapenem as a strategy to reduce resistance to carbapenems and included epidemiologic studies with this strategy to evaluate susceptibility patterns to cephalosporins, quinolones, and carbapenems in Gram-negative-bacilli. The search period included only studies in English, up to February 2018. From 1294 articles, 12 studies were included, mostly from the Americas. Enterobacteriaceae resistance to quinolones and cephalosporins was evaluated in 6 studies and carbapenem resistance in 4 studies. Group 2 carbapenem (imipenem/meropenem/doripenem) resistance on A. baumannii was evaluated in 6 studies. All studies evaluated P. aeruginosa resistance to Group 2 carbapenem. Resistance profiles of Enterobacteriaceae and P. aeruginosa to Group 2 carbapenems were not associated with ertapenem consumption. The resistance rate of A. baumannii to Group 2 carbapenems after ertapenem introduction was not clear due to a lack of studies without bias. In summary, ertapenem as a strategy to spare use of Group 2 carbapenems may be an option to stewardship programs without increasing resistance of Enterobacteriaceae and P. aeruginosa. More studies are needed to evaluate the influence of ertapenem on A. baumannii.
نوع الوثيقة: article
وصف الملف: text/html
اللغة: English
تدمد: 0037-8682
DOI: 10.1590/0037-8682-0413-2020
URL الوصول: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100209
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edssci.S0037.86822020000100209
قاعدة البيانات: SciELO
الوصف
تدمد:00378682
DOI:10.1590/0037-8682-0413-2020