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Carbapenem-Resistant Klebsiella pneumoniae: Microbiology Key Points for Clinical Practice

机译:耐碳青霉烯的肺炎克雷伯菌:临床实践的微生物学要点

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摘要

Carbapenemase–producing strains (Cp-Kpn) represent a challenge for clinical practitioners due to their increasing prevalence in hospital settings and antibiotic resistance. Clinical practitioners are often overwhelmed by the extensive list of publications regarding Cp-Kpn infections, treatment, characteristics, identification, and diagnosis. In this perspective article, we provide key points for clinical practitioners to consider for improved patient management including identification of risk factors and strategies for treatment. Additionally, we also discuss genetic underpinnings of antibiotic resistance, implementation of an antimicrobial stewardship program (ASP), and use of automated systems for detection of Cp-Kpn. Collectively, implementation of such key points would enhance clinical practices through providing practical knowledge to health professionals worldwide.
机译:产生碳青霉烯酶的菌株(Cp-Kpn)由于其在医院中的患病率和抗生素耐药性的增加而对临床医生构成了挑战。关于Cp-Kpn感染,治疗,特征,鉴定和诊断的大量出版物常常使临床医生不知所措。在这篇观点文章中,我们为临床医生提供了改善患者管理的要点,包括确定危险因素和治疗策略。此外,我们还讨论了抗生素耐药性的遗传基础,抗菌素管理计划(ASP)的实施以及自动化系统对Cp-Kpn的检测的使用。总体而言,实施这些关键点将通过向全球卫生专业人员提供实践知识来增强临床实践。

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