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1 biotic, 1-carbapen-2-em-3-carboxylic acid (a carbapenem).
2 (24%) received TZP and 141 (76%) received a carbapenem.
3 (24%) received TZP and 141 (76%) received a carbapenem.
4 ptible to chloramphenicol, azithromycin, and carbapenems.
5 oss-resistance when used in combination with carbapenems.
6 eptible to chloramphenicol, azithromycin and carbapenems.
7 paradoxically, improves binding affinity for carbapenems.
8 ffusion of both nutrients (e.g. lactose) and Carbapenems.
9 ulting in resistance to both tigecycline and carbapenems.
10 th such drugs (other active drugs [OADs]) or carbapenems.
11 tam drugs, including both cephalosporins and carbapenems.
12 genes, which confer resistance to last-line carbapenems.
13 er by the 6alpha-hydroxyethyl substituent of carbapenems.
14 inactivation method, and disk diffusion with carbapenems.
15 ics were fluoroquinolones (35%), followed by carbapenems (20%), TMP-SMX (18.5%), and ceftazidime (11%
16 terales resistant to ertapenem but not other carbapenems; (3) Enterobacterales with OXA-48-like enzym
17 l drugs was significantly more frequent with carbapenems (36/206 [17.5%]) versus ceftazidime (25/201
18 d p=0.011), and antibiotic use, particularly carbapenems (45 [9%] vs 18 [24%], adjusted p=0.002) and
19 nds apart from the current DBOs in restoring carbapenem activity against OXA-CRAB as well as SBL-carr
20 aeruginosa after patients were treated with carbapenems, along with the general preference for carba
22 , which interacts with the C3 carboxylate of carbapenems, also contributes strongly to the deacylatio
26 down-regulating production of gas vesicles, carbapenem and prodigiosin antibiotics, and infection in
28 racillin/tazobactam (TZP) but susceptible to carbapenems and 3rd generation cephalosporins, has emerg
31 (20%), and 55/344 (16%) in the ceftazidime, carbapenem, and piperacillin-tazobactam groups, respecti
32 nt (MDR) to penicillins, cephalosporins, and carbapenems, and are harboring the bla(TEM), bla(CTX), a
33 beta-lactams (penicillins, cephalosporines, carbapenems, and monobactams), by the production of beta
35 events was demonstrated between ceftazidime, carbapenems, and piperacillin-tazobactam as definitive t
36 ely drug-resistant bacteria, including ESBL, carbapenem- and colistin-resistant clinical isolates.
39 a-lactamases (MBLs), mediating resistance to carbapenem antibiotics, is a major public health problem
41 erobacteriaceae threaten human health, since carbapenems are last resort drugs for infections by such
44 t in the TZP arm and 11 (8%) patients in the carbapenem arm had incident carbapenem-resistant organis
45 t in the TZP arm and 11 (8%) patients in the carbapenem arm who had incident carbapenem-resistant org
48 0.67-2.51, for piperacillin-tazobactam, with carbapenems as reference in propensity adjusted multivar
49 nd focus is beta-lactamase interactions with carbapenems, as carbapenem-resistant bacteria are of gra
53 Continued use of obsolete Enterobacteriaceae carbapenem breakpoints is common in clinical laboratorie
55 with production of a beta-lactam antibiotic (carbapenem carboxylate) and a linear tripyrrole red anti
60 Analysis of reported crystal structures for carbapenem-derived acyl-enzyme complexes reveals preferr
62 m 4% to 10% (P = 0.03), as did daily defined carbapenem doses/1,000 patient days (6.52 to 34.5; R (2)
63 f the genes hycA, dsrB, and bolA potentiated carbapenem efficacy in CRE E. coli, whereas inhibition o
68 f active site alanine mutants indicates that carbapenem hydrolysis is a concerted effort involving mu
70 s activity with bacterial species that carry carbapenem-hydrolyzing class D beta-lactamases (OXA-23,
71 t bacteria are of grave clinical concern and carbapenem-hydrolyzing enzymes such as KPC (class A) NDM
73 ed from the Consortium on Resistance Against Carbapenems in Klebsiella and Other Enterobacteriaceae,
74 ed value to rationalize the empirical use of carbapenems in the ICU, emphasizing the urgent need for
75 terobacteriaceae that test as susceptible to carbapenems in vitro for the presence of carbapenemase g
76 e detection of carbapenemase production, the carbapenem inactivation method (CIM), was recently descr
78 aluated the performance of the EDTA-modified carbapenem inactivation method (eCIM) in tandem with the
79 elopment and evaluation of the EDTA-modified carbapenem inactivation method (eCIM), an assay for disc
80 on method (eCIM) in tandem with the modified carbapenem inactivation method (mCIM) against a large co
82 escribe a two-stage evaluation of a modified carbapenem inactivation method (mCIM), in which tryptic
83 (Cepheid, Inc., Sunnyvale, CA), the modified carbapenem inactivation method (mCIM), the EDTA-modified
86 P, and NeoRapid Carb] and a variation of the carbapenem inactivation method [CIM] test with blood cul
87 M); the latter was comprised of the modified carbapenem inactivation method and a MIC screen for erta
88 NP, the manual Blue Carba, and the modified carbapenem inactivation method for the detection of any
89 nactivation method (mCIM), the EDTA-modified carbapenem inactivation method, and disk diffusion with
90 his commentary explores modifications to the carbapenem inactivation method-but is this the right foc
93 nal readouts and potentiated activity of the carbapenem, meropenem, against a strain carrying the lar
94 6 patients received therapy >72 hours with a carbapenem, none of the patients had an infection with a
95 6 patients received therapy >72 hours with a carbapenem, none of the patients had an infection with a
98 cutive ICU P. aeruginosa isolates collected, carbapenem nonsusceptibility was observed for 35% of the
105 nfusion of piperacillin-tazobactam (TZP) and carbapenems on 30-day mortality of patients with liver c
106 ation cephalosporins (OR 2.38; P = .03), and carbapenems (OR 2.44; P = .03) correlated with the great
107 rbapenem use is not without consequence, and carbapenem overuse has contributed to the emergence of c
110 f beta-lactones from all clinically relevant carbapenems regardless of the presence or absence of a 1
111 biotics and more importantly the last resort carbapenems, represent a major mechanism of resistance i
113 tates, recognition of the molecular basis of carbapenem resistance allowed for successful treatment b
114 which provoked carbapenem use and consequent carbapenem resistance and finally increased colistin con
115 rbapenemase acquisition is the main cause of carbapenem resistance and that it occurred across divers
116 diagnostic tests to improve the detection of carbapenem resistance and the use of large, population-b
117 isolates that may have utility in predicting carbapenem resistance and tracking hospital outbreaks of
118 and describe a novel mechanism of inducible carbapenem resistance associated with the acquisition of
119 ic resistance mechanisms, such as blaKPC and carbapenem resistance consistent with the accurate natur
123 enhance our understanding of the drivers of carbapenem resistance in the Philippines, while also ser
124 in the repeated convergence of virulence and carbapenem resistance in the United States and Europe, d
128 ss than E. coli, and the association between carbapenem resistance of P. aeruginosa and colistin use
129 ed to decreased carbapenem use and decreased carbapenem resistance of P. aeruginosa but not of A. bau
130 We aimed to quantify the clinical effect of carbapenem resistance on mortality and length of hospita
131 bability weighting to estimate the effect of carbapenem resistance on probability of discharge alive
139 ses in vitro, major contributors to clinical carbapenem resistance, by removing active site zinc.
141 f these agents as a function of mechanism of carbapenem resistance, the clinical data supporting thei
145 gative pathogens, including those with major carbapenem-resistance mechanisms, and stability against
146 n of MICs, 49% (n = 98) of the isolates were carbapenem resistant (as defined by either resistance or
149 evaluated patients with infection caused by carbapenem-resistant A. baumannii (CRAB) identified as c
150 ncreased carbapenem use, provoking spread of carbapenem-resistant A. baumannii and consequent colisti
151 rld Health Organization recently highlighted carbapenem-resistant A. baumannii as a "critical priorit
152 activity of beta-lactam antibiotics against carbapenem-resistant Acinetobacter baumannii (CRAB), a W
153 g-resistant gram-negative pathogens, such as carbapenem-resistant Acinetobacter baumannii (CRAB).
154 selected antibiotics and incidence rates of carbapenem-resistant Acinetobacter baumannii (Hungary),
155 infection (from 24.15 to 15.76 per 10,000), carbapenem-resistant acinetobacter species infection (fr
156 on, carbapenem-resistant Enterobacteriaceae, carbapenem-resistant acinetobacter species, and MDR Pseu
157 a in the critical priority category, such as carbapenem-resistant Acinetobacter, Pseudomonas and Ente
158 in against Gram-negative bacteria, including carbapenem-resistant and colistin-resistant strains bear
159 ug for the treatment of infections caused by carbapenem-resistant and/or multidrug-resistant (MDR) Gr
160 -lactamase interactions with carbapenems, as carbapenem-resistant bacteria are of grave clinical conc
161 e, beta-lactam specificity and metal content.Carbapenem-resistant bacteria pose a major health threat
162 nem-susceptible Enterobacteriaceae (CSE) and carbapenem-resistant Entero-bacteriaceae (CRE) bloodstre
163 merous government and agency reports discuss carbapenem-resistant Enterobacterales (CRE) and carbapen
164 tam antibiotics, to various extents, against carbapenem-resistant Enterobacterales (CRE) carrying cla
165 Cefiderocol AST was performed on consecutive carbapenem-resistant Enterobacterales (CRE; 58 isolates)
167 s to reliably detect carbapenemase-producing carbapenem-resistant Enterobacteriaceae (CP-CRE) is an i
178 The rapidly increasing dissemination of carbapenem-resistant Enterobacteriaceae (CRE) in both hu
179 facilities (LTCFs) are a major reservoir of carbapenem-resistant Enterobacteriaceae (CRE) in healthc
182 14-day inpatient mortality in nonbacteremia carbapenem-resistant Enterobacteriaceae (CRE) infections
183 Rapid diagnosis of infections caused by carbapenem-resistant Enterobacteriaceae (CRE) is crucial
185 ta-lactamase-producing organisms (ESBL), and carbapenem-resistant Enterobacteriaceae (CRE) using nare
187 the management of invasive infections due to carbapenem-resistant Enterobacteriaceae (CRE), leading t
190 multidrug-resistant pathogens, particularly carbapenem-resistant Enterobacteriaceae (CREs), present
192 model, parametrized via a novel analysis of carbapenem-resistant Enterobacteriaceae data reported to
197 health threats is the worldwide emergence of carbapenem-resistant Enterobacteriaceae(1-4), which are
198 crobials of last resort for the treatment of carbapenem-resistant Enterobacteriaceae, but resistance
199 d-spectrum beta-lactamase (ESBL) production, carbapenem-resistant Enterobacteriaceae, carbapenem-resi
200 by antibiotic-resistant bacteria, including carbapenem-resistant Enterobacteriaceae, have increased
207 of 88 New Delhi metallo-beta-lactamases-type carbapenem-resistant Escherichia coli (NDM-EC), includin
208 i-drug-resistant bacteria strains (including carbapenem-resistant Escherichia coli and methicillin-re
209 (s), capable of sequence-specific killing of carbapenem-resistant Escherichia coli and methicillin-re
212 hod is applied to four of the most prominent carbapenem-resistant genes: bla(OXA-48), bla(NDM), bla(V
215 randomized controlled trial of patients with carbapenem-resistant gram-negative bacterial infections
216 ymyxins are relied upon for the treatment of carbapenem-resistant Gram-negative bacterial infections,
217 apy given to patients with infections due to carbapenem-resistant Gram-negative organisms reduces the
219 ria and has proven in vitro activity against carbapenem-resistant gram-negative pathogens, including
221 to investigate the predation of an important carbapenem-resistant human pathogen, Klebsiella pneumoni
222 and D), non-carbapenemase-producing (non-CP) carbapenem-resistant isolates, and carbapenem-susceptibl
225 as performed when 9 patients with blaOXA-232 carbapenem-resistant K. pneumoniae infections were ident
226 ort the global evolution of pathogenicity in carbapenem-resistant K. pneumoniae, resulting in the rep
229 he incidence of nosocomial infections due to carbapenem-resistant Klebsiella pneumoniae is increasing
230 rventions to control the current epidemic of carbapenem-resistant Klebsiella pneumoniae rely on a com
232 ancomycin-resistant Enterococcus faecium and carbapenem-resistant Klebsiella pneumoniae, emerge from
233 here is increased awareness of the impact of carbapenem-resistant nonfermenting gram-negative bacteri
234 creen for gastrointestinal colonization with carbapenem-resistant organisms (CRO) has yet to be estab
236 datasets to capture a greater proportion of carbapenem-resistant organisms can help us gain a better
237 and accurate treatment of infections due to carbapenem-resistant organisms is facilitated by rapid d
238 and accurate treatment of infections due to carbapenem-resistant organisms is facilitated by rapid d
239 ients in the carbapenem arm who had incident carbapenem-resistant organisms isolated within 30 days (
240 patients in the carbapenem arm had incident carbapenem-resistant organisms isolated within 60 days (
241 is and may mitigate the risk of emergence of carbapenem-resistant organisms, compared with carbapenem
243 , ST258 and ST512, which are associated with carbapenem-resistant outbreaks in China and the US, incl
246 hat are the ultimate line of defense against carbapenem-resistant pathogens in clinical settings.
248 6.2% of Pseudomonas aeruginosa isolates were carbapenem-resistant preimplementation compared with 25.
250 d diversity of carbapenemase producers among carbapenem-resistant Pseudomonas aeruginosa (CRPA) isola
251 activity of beta-lactam antibiotics against carbapenem-resistant Pseudomonas aeruginosa and carbapen
253 etrospective study of patients infected with carbapenem-resistant Pseudomonas aeruginosa who were tre
257 enem and meropenem against highly pathogenic carbapenem-resistant strains, such as Acinetobacter baum
259 the treatment of severe infections caused by carbapenem-resistant, colistin-susceptible Gram-negative
260 the treatment of severe infections caused by carbapenem-resistant, colistin-susceptible Gram-negative
261 ibute to high morbidity/mortality rates with carbapenem-resistant, Gram-negative bacterial infections
264 These findings suggest modifications of the carbapenem scaffold to avoid hydrolysis by KPC-2 beta-la
265 a large tertiary refferential center, use of carbapenems seems necessary to achieve a high antibiotic
266 enems, along with the general preference for carbapenem-sparing regimens, suggests using ceftazidime
268 cribe a flow cytometry workflow to determine carbapenem susceptibility from bacterial cell characteri
269 rug resistant and, of 33 isolates tested for carbapenem susceptibility, 12 (36%) were resistant.
270 esistance whereby isolates that appear to be carbapenem susceptible on initial testing can develop in
271 erales with OXA-48-like enzymes that remain "carbapenem susceptible" at breakpoint; and (4) Pseudomon
272 were prepared by seeding well-characterized carbapenem-susceptible and -nonsusceptible strains into
273 CNSC genomes were compared with genomes of carbapenem-susceptible Citrobacter spp. from UPMC and wi
274 uiting consecutively diagnosed patients with carbapenem-susceptible Enterobacteriaceae (CSE) and carb
276 se (KPC) is a widespread SBL that hydrolyzes carbapenems, the most potent beta-lactams; known KPC var
278 ird- and fourth-generation cephalosporins or carbapenems, there was a 2.1% and 2.9% increase in HO-CD
279 PNA was then tested in combination with each carbapenem to assess its effect on the antibiotics' mini
280 IM-1, BcII, CphA, and L1) tested all degrade carbapenems to preferentially give the Delta(2) (enamine
282 ing cephalosporin resistance, which provoked carbapenem use and consequent carbapenem resistance and
285 e appear protective against infection, while carbapenem use is associated with consequences to the mi
287 alosporin-resistant Klebsiella spp. provoked carbapenem use less than E. coli, and the association be
290 for febrile neutropenia effectively reduced carbapenem use, which may have resulted in decreased VRE
291 roducing pyelonephritis receiving TZP versus carbapenems using an inverse probability of treatment we
292 pyelonephritis who were receiving TZP versus carbapenems, using an inverse probability of treatment w
293 ous selective pressure imposed by widespread Carbapenem utilisation in hospital settings drives the e
295 ving C/EI or intermittent infusion of TZP or carbapenems was assessed with Kaplan-Meier curves, Cox-r
299 es are a major threat to the clinical use of carbapenems, which are often antibiotics of last resort.