The Use of Cefepime for Treating AmpC β-Lactamase–Producing Enterobacteriaceae
Author(s) -
Pranita D. Tamma,
Sonya Tang Girdwood,
Ravindra Gopaul,
Tsigereda Tekle,
Ava A. Roberts,
Anthony Harris,
Sara E. Cosgrove,
Karen C. Carroll
Publication year - 2013
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cit395
Subject(s) - cefepime , medicine , meropenem , cefotetan , enterobacter , cephalosporin , ertapenem , tigecycline , odds ratio , microbiology and biotechnology , antibiotics , antibiotic resistance , biology , imipenem , biochemistry , escherichia coli , gene
AmpC β-lactamase-producing organisms are associated with significant morbidity and mortality. Induction of resistance to third-generation cephalosporins after exposure to these agents complicates treatment options and carbapenems are considered optimal therapy. The role of cefepime, however, remains unclear. Our objective was to compare clinical outcomes for patients receiving cefepime compared with meropenem for invasive infections caused by organisms expressing AmpC β-lactamases.
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