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76: Pièce de (Gram-negative) Resistance, Part 1: AmpC, ESBL

Febrile

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Treatment options for ESBL producers

This chapter explores the treatment options for extended spectrum beta-lactamase (ESBL) producers, specifically discussing cephalosporin, piperacillin-tazobactam, and carbapenem. It examines observational data and clinical trials comparing these drugs, highlighting concerns about the efficacy of piperacillin-tazobactam based on higher mortality rates in a trial. The speaker concludes that they are not enthusiastic about using piperacillin-tazobactam for bacteremia and pyelonephritis.

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