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Journal ArticleDOI

Treatment Outcomes of Colistin- and Carbapenem-resistant Acinetobacter baumannii Infections: An Exploratory Subgroup Analysis of a Randomized Clinical Trial.

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TLDR
Colistin resistance as determined by BMD was associated with significantly lower mortality among patients with severe CRAB infections and colistin monotherapy wasassociated with a better outcome compared to colist in-meropenem combination therapy.
Abstract
Background We evaluated the association between mortality and colistin resistance in Acinetobacter baumannii infections and the interaction with antibiotic therapy. Methods This is a secondary anal ...

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The "Old" and the "New" Antibiotics for MDR Gram-Negative Pathogens: For Whom, When, and How.

TL;DR: Novel drugs and combinations are not to be considered “panacea” for the ongoing crisis in the therapy of XDR Gram-negative bacteria and colistin will continue to been considered as a fundamental companion drug for the treatment of carbapenem-resistant Enterobacteriaceae, for thetreatment of CRPA (in many cases being the only in vitro active drug) as well as CRAB.
Journal ArticleDOI

Epidemiology of carbapenem-resistant Gram-negative infections globally

TL;DR: High-resistance rates in carbapenem-resistant GNB in many countries will inevitably complicate treatment of serious infections in vulnerable patient groups and should accelerate global attempts to overcome the impediments with regard to effective antimicrobial stewardship and infection prevention and control programs.
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Journal ArticleDOI

Polymyxins: Antibacterial Activity, Susceptibility Testing, and Resistance Mechanisms Encoded by Plasmids or Chromosomes

TL;DR: Genotypic and phenotypic methods that provide relevant information for diagnostic laboratories are presented and recent works in relation to recently identified mechanisms of polymyxin resistance, including chromosomally encoded resistance traits as well as the recently identified plasmid-encoded polymyXin resistance determinant MCR-1 are presented.
Journal ArticleDOI

Acinetobacter baumannii: evolution of a global pathogen.

TL;DR: The recent expansion of A. baumannii sequenced genomes has permitted the development of large-array phylogenomic and phenotypic analyses, which can offer valuable insights into the evolution and adaptation of the human pathogen.
Journal ArticleDOI

Antibiotic Treatment of Infections Due to Carbapenem-Resistant Enterobacteriaceae: Systematic Evaluation of the Available Evidence

TL;DR: Evaluating the effectiveness of the antibiotic treatment administered for infections caused by carbapenemase-producing Enterobacteriaceae found that combination antibiotic treatment may be considered the optimal option for severely ill patients with severe infections.
Journal ArticleDOI

Colistin-Resistant Acinetobacter baumannii: Beyond Carbapenem Resistance

TL;DR: Colistin-resistant A. baumannii occurred almost exclusively among patients who had received CMS for treatment of carbapenem-resistant, colist in-susceptible, and -resistant isolates, suggesting evolution of resistance during CMS therapy.
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