The clinical impact of multidrug-resistant gram-negative bacilli in the management of septic shock.

Abstract:

:Multi-antibiotic drug-resistant (MDR) gram-negative bacilli are becoming a major threat to the standard care of septic patients. Empiric antimicrobial drug regimens to cover likely bacterial pathogens have to be altered in keeping with the spread of MDR pathogens in the health care setting and in the community. Reliable antibiotics for broad spectrum coverage for sepsis such as extended spectrum β-lactam antibiotics, carbapenems, and fluoroquinolones can no longer be counted upon to provide activity against a range of common, virulent pathogens that cause sepsis. In some regions of Asia, South America, and Eastern Europe in particular, MDR pathogens have become a major concern, necessitating the use of potentially toxic and costly antibiotic combinations as initial antibiotic therapy for septic shock. In this brief review, we will focus on the emergence of MDR gram-negative pathogens, resistance mechanisms, and suggest some management and prevention strategies against MDR pathogens.

journal_name

Virulence

journal_title

Virulence

authors

Pop-Vicas A,Opal SM

doi

10.4161/viru.26210

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

206-12

issue

1

eissn

2150-5594

issn

2150-5608

pii

26210

journal_volume

5

pub_type

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