Advances of ceftazidime/avibactam in the treatment of carbapenem-resis-tant Klebsiella pneumoniae infection
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    Abstract:

    In recent years, the prevalence of carbapenem-resistant Klebsiella pneumoniae (CRKP) infection has become a global public health issue. Ceftazidime/avibactam (CAZ/AVI) has been approved as a novel antimicrobial agent for the treatment of healthcare-associated pneumonia/ventilator-associated pneumonia, bloodstream infection, infection after kidney transplantation, and severe infection combined with liver cirrhosis. However, the use of CAZ/AVI has also led to the emergence of drug-resistant strains. The major mechanisms of drug-resistance include over-expression of blaKPC gene, mutation of β-lactamase and amino acids at key sites, changes in cell permeability caused by loss of membrane porin, and over-expression of efflux pump. This article reviews the research progress of CAZ/AVI in the treatment of CRKP infection, providing reference for clinical diagnosis and treatment.

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赵圆祺,程明璟,熊苗苗,等.头孢他啶/阿维巴坦治疗耐碳青霉烯类肺炎克雷伯菌感染的研究进展[J].中国感染控制杂志英文版,2024,23(8):1047-1052. DOI:10.12138/j. issn.1671-9638.20245118.
ZHAO Yuan-qi, CHENG Ming-jing, XIONG Miao-miao, et al. Advances of ceftazidime/avibactam in the treatment of carbapenem-resis-tant Klebsiella pneumoniae infection[J]. Chin J Infect Control, 2024,23(8):1047-1052. DOI:10.12138/j. issn.1671-9638.20245118.

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History
  • Received:October 17,2023
  • Revised:
  • Adopted:
  • Online: August 23,2024
  • Published: August 28,2024