Successful Treatment of Carbapenem-Resistant Klebsiella pneumoniae Meningitis with Combination Therapy of Meropenem and Amikacin

نویسندگان

1 دانشگاه تبریز

2 دانشگاه علوم پزشکی ایران

3 دانشگاه علوم پزشکی تهران

4 دانشگاه علوم پزشکی مشهد

5

doi
10.5812/apid-140658
چکیده

Introduction: The widespread use of carbapenems increased the prevalence of carbapenem-resistant Enterobacteriaceae with subsequent increases in mortality due to extremely limited treatment options. Following neurosurgical procedures, carbapenem-resistant Klebsiella pneumoniae (CRKP) is the main cause of central nervous system (CNS) infections. The optimal antimicrobial treatment of such infections has not yet been defined. Conclusions: This successful treatment regimen for CRKP-causing meningitis may pave the way to manage severe CNS infections with extensive-drug-resistant bacteria in infants and children without inserting an external drain or intra-thecal antibiotic administration.