Table 3.

Characteristics of CRE-positive Patients who Died

PatientPatient 1Patient 2Patient 3Patient 4Patient 5Patient 6Patient 7Patient 8Patient 9
Age6 mo7 y1 mo2 y16 y10 mo3 wk6 mo4 mo
SexMMFMMFFFF
Comorbid conditionsImmune-
deficiency
Leukemia
HSCT
MalignancyCirrhosisCongestive heart failurePulmonary diseasePulmonary diseaseNoneNone
Hospital days until positive culture1753281011231921
Preceding antibiotics
(total days)
CTX (2)
CFP (8)
TZP (4)
AMP (7)
CTX (3)
CFP (14)
MEM (4)
SXT (26)
TZP (8)
MEM (5)
TZP (1)NoneNoneNoneSAMaCTXa
Culture sourceRespiratoryUrineRespiratoryBloodAbdominalRespiratoryBloodRespiratoryRespiratory
InfectionColonizationInfectionInfectionInfectionInfectionInfectionInfectionInfectionInfection
SpeciesKlebsiella pneumoniaeEnterobacter sppKlebsiella pneumoniaeKlebsiella pneumoniaeKlebsiella pneumoniaeProteus mirabilisKlebsiella pneumoniaeEnterobacter sppEnterobacter spp
CarbapenemaseNDM-1Non-CP CREKPC-2OXA-232Non-CP CREKPC negativeKPC-2Not testedKPC negative
Antibiotic therapy for 30 d after culture (total days) a unkownCFP (3)
MEM (17)
CST (11)
PMB (1)
MEM (21)
CIP (11)
PMB (1)
CZA (7)
MEM (3)
SXT (7)
MEM (5)
TOB (2)
AMK (2)
CZA (6)
CST (5)
SXT (6)
CFP (1)TZPaCST (3)GEN (6)
MEM (4)
GEN (3)
Days from positive culture to death16508911245730
PatientPatient 1Patient 2Patient 3Patient 4Patient 5Patient 6Patient 7Patient 8Patient 9
Age6 mo7 y1 mo2 y16 y10 mo3 wk6 mo4 mo
SexMMFMMFFFF
Comorbid conditionsImmune-
deficiency
Leukemia
HSCT
MalignancyCirrhosisCongestive heart failurePulmonary diseasePulmonary diseaseNoneNone
Hospital days until positive culture1753281011231921
Preceding antibiotics
(total days)
CTX (2)
CFP (8)
TZP (4)
AMP (7)
CTX (3)
CFP (14)
MEM (4)
SXT (26)
TZP (8)
MEM (5)
TZP (1)NoneNoneNoneSAMaCTXa
Culture sourceRespiratoryUrineRespiratoryBloodAbdominalRespiratoryBloodRespiratoryRespiratory
InfectionColonizationInfectionInfectionInfectionInfectionInfectionInfectionInfectionInfection
SpeciesKlebsiella pneumoniaeEnterobacter sppKlebsiella pneumoniaeKlebsiella pneumoniaeKlebsiella pneumoniaeProteus mirabilisKlebsiella pneumoniaeEnterobacter sppEnterobacter spp
CarbapenemaseNDM-1Non-CP CREKPC-2OXA-232Non-CP CREKPC negativeKPC-2Not testedKPC negative
Antibiotic therapy for 30 d after culture (total days) a unkownCFP (3)
MEM (17)
CST (11)
PMB (1)
MEM (21)
CIP (11)
PMB (1)
CZA (7)
MEM (3)
SXT (7)
MEM (5)
TOB (2)
AMK (2)
CZA (6)
CST (5)
SXT (6)
CFP (1)TZPaCST (3)GEN (6)
MEM (4)
GEN (3)
Days from positive culture to death16508911245730

Abbreviations: AMK, amikacin; CFP, cefepime; CIP, ciprofloxacin; CST, colistin; CZA, ceftazidime; GEN, gentamicin; MEM, meropenem; PMB, polymyxin B; TOB, tobramycin; TZP, piperacillin-tazobactam; SAM, sulbactam-ampicillin; SXT, trimethoprim-sulfamethoxazole.

aDuration of therapy unknown.

Table 3.

Characteristics of CRE-positive Patients who Died

PatientPatient 1Patient 2Patient 3Patient 4Patient 5Patient 6Patient 7Patient 8Patient 9
Age6 mo7 y1 mo2 y16 y10 mo3 wk6 mo4 mo
SexMMFMMFFFF
Comorbid conditionsImmune-
deficiency
Leukemia
HSCT
MalignancyCirrhosisCongestive heart failurePulmonary diseasePulmonary diseaseNoneNone
Hospital days until positive culture1753281011231921
Preceding antibiotics
(total days)
CTX (2)
CFP (8)
TZP (4)
AMP (7)
CTX (3)
CFP (14)
MEM (4)
SXT (26)
TZP (8)
MEM (5)
TZP (1)NoneNoneNoneSAMaCTXa
Culture sourceRespiratoryUrineRespiratoryBloodAbdominalRespiratoryBloodRespiratoryRespiratory
InfectionColonizationInfectionInfectionInfectionInfectionInfectionInfectionInfectionInfection
SpeciesKlebsiella pneumoniaeEnterobacter sppKlebsiella pneumoniaeKlebsiella pneumoniaeKlebsiella pneumoniaeProteus mirabilisKlebsiella pneumoniaeEnterobacter sppEnterobacter spp
CarbapenemaseNDM-1Non-CP CREKPC-2OXA-232Non-CP CREKPC negativeKPC-2Not testedKPC negative
Antibiotic therapy for 30 d after culture (total days) a unkownCFP (3)
MEM (17)
CST (11)
PMB (1)
MEM (21)
CIP (11)
PMB (1)
CZA (7)
MEM (3)
SXT (7)
MEM (5)
TOB (2)
AMK (2)
CZA (6)
CST (5)
SXT (6)
CFP (1)TZPaCST (3)GEN (6)
MEM (4)
GEN (3)
Days from positive culture to death16508911245730
PatientPatient 1Patient 2Patient 3Patient 4Patient 5Patient 6Patient 7Patient 8Patient 9
Age6 mo7 y1 mo2 y16 y10 mo3 wk6 mo4 mo
SexMMFMMFFFF
Comorbid conditionsImmune-
deficiency
Leukemia
HSCT
MalignancyCirrhosisCongestive heart failurePulmonary diseasePulmonary diseaseNoneNone
Hospital days until positive culture1753281011231921
Preceding antibiotics
(total days)
CTX (2)
CFP (8)
TZP (4)
AMP (7)
CTX (3)
CFP (14)
MEM (4)
SXT (26)
TZP (8)
MEM (5)
TZP (1)NoneNoneNoneSAMaCTXa
Culture sourceRespiratoryUrineRespiratoryBloodAbdominalRespiratoryBloodRespiratoryRespiratory
InfectionColonizationInfectionInfectionInfectionInfectionInfectionInfectionInfectionInfection
SpeciesKlebsiella pneumoniaeEnterobacter sppKlebsiella pneumoniaeKlebsiella pneumoniaeKlebsiella pneumoniaeProteus mirabilisKlebsiella pneumoniaeEnterobacter sppEnterobacter spp
CarbapenemaseNDM-1Non-CP CREKPC-2OXA-232Non-CP CREKPC negativeKPC-2Not testedKPC negative
Antibiotic therapy for 30 d after culture (total days) a unkownCFP (3)
MEM (17)
CST (11)
PMB (1)
MEM (21)
CIP (11)
PMB (1)
CZA (7)
MEM (3)
SXT (7)
MEM (5)
TOB (2)
AMK (2)
CZA (6)
CST (5)
SXT (6)
CFP (1)TZPaCST (3)GEN (6)
MEM (4)
GEN (3)
Days from positive culture to death16508911245730

Abbreviations: AMK, amikacin; CFP, cefepime; CIP, ciprofloxacin; CST, colistin; CZA, ceftazidime; GEN, gentamicin; MEM, meropenem; PMB, polymyxin B; TOB, tobramycin; TZP, piperacillin-tazobactam; SAM, sulbactam-ampicillin; SXT, trimethoprim-sulfamethoxazole.

aDuration of therapy unknown.

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