Infection by Carbapenemase-Producing Klebsiella pneumoniae in Renal Transplant Recipients

There is a tendency to increase the number of cases of infection by multidrug-resistant bacteria, in view of the indiscriminate and sometimes excessive use of broad-spectrum antibiotics in the hospital environment. These infections have generated great impact, especially in immunosuppressedpatients...

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Detalles Bibliográficos
Autores: Campos Júnior, Salmito de Almeida, Demarchi Foresto, Renato, Almeida Viana, Laila, Requião-Moura, Lúcio Roberto, Tedesco-Silva Junior, Helio, Medina-Pestana, Jose Osmar
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Institución:Associação Brasileira de Transplante de Órgãos (ABTO)
Repositorio:Brazilian Journal of Transplantation
Idioma:portugués
inglés
español
OAI Identifier:oai:ojs3.emnuvens.com.br:article/436
Acceso en línea:https://bjt.emnuvens.com.br/revista/article/view/436
Access Level:acceso abierto
Palabra clave:Transplante de Riñón
Infecciones por Klebsiella
Infección Hospitalaria
Resistencia Beta-lactámica
Descripción
Sumario:There is a tendency to increase the number of cases of infection by multidrug-resistant bacteria, in view of the indiscriminate and sometimes excessive use of broad-spectrum antibiotics in the hospital environment. These infections have generated great impact, especially in immunosuppressedpatients undergoing solid organ transplantation. National data revealed a significant increase in the rates of infections by multidrug-resistant bacteria. The present study aimed to evaluate the incidence and demographics of health care-related infections by carbapenemase-producing K. pneumoniae (KPC). This is an observational, retrospective, descriptive study conducted at a single center (Kidney Hospital) with evaluation of the outcomes of kidney transplant recipients with KPC infection between November 2009 and December 2015. In our center, KPC bloodstream infection had the highest prevalence, followed by urinary tract infection. The overall 30-day mortality was 36%, similar to that found in the international literature. Infection with multidrug-resistant bacteria is a serious clinical condition in transplant patients and poses a therapeutic challenge.