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Febrile

77: Pièce de (Gram-negative) Resistance, Part 2: CRE

Jul 10, 2023
Drs. Hawra Al-Lawati and Pranita Tamma discuss the management of antimicrobial resistant Gram-negative infections. They explore treatment approaches, testing susceptibility, and advancements in drug resistance. They also discuss alternative treatment options and cases of carbapenem-resistant infections.
33:05

Podcast summary created with Snipd AI

Quick takeaways

  • Choosing appropriate antibiotics based on susceptibility testing and resistance mechanisms is crucial in managing carbapenem resistant gram-negative infections.
  • Limited treatment options are available for NDM-producing infections, but potential options include ceftazidime-avibactam and aztreonam combination, ceftriaxone, and cephalosporin-siderophore conjugate (cefiderocol).

Deep dives

Approach to Carbapenem Resistant Entrobacteriaceae (CRE)

This podcast episode discusses the management of carbapenem resistant gram-negative infections, specifically focusing on carbapenem resistant Entrobacteriaceae (CRE) infections. The episode emphasizes the importance of choosing appropriate antibiotics based on susceptibility testing and resistance mechanisms. It highlights the use of drugs such as ceftazidime-avibactam, meropenem-vaborbactam, and ampicillin-sulbactam for CRE infections. It also explores the different carbapenemase genes and their implications for treatment, with specific attention given to KPC, NDM, and OXA-48-like enzymes. The importance of careful dosing and infusion times for optimal drug effectiveness is also discussed.

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