Increased 30-Day Mortality Associated With Carbapenem-Resistant Enterobacteriaceae in Children

Author:

Chiotos Kathleen123,Tamma Pranita D4,Flett Kelly B5,Karandikar Manjiree V5,Nemati Koorosh4,Bilker Warren B6789,Zaoutis Theoklis1367,Han Jennifer H6710

Affiliation:

1. Division of Infectious Diseases, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania

2. Division of Critical Care Medicine, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania

3. Center for Pediatric Clinical Effectiveness, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania

4. Division of Infectious Diseases, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland

5. Division of Infectious Diseases, Department of Medicine, Boston Children’s Hospital, Boston, Massachusetts

6. Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania

7. Department of Biostatistics, Informatics, and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania

8. Department of Informatics, University of Pennsylvania, Philadelphia, Pennsylvania

9. Department of Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania

10. Division of Infectious Diseases, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania

Abstract

Abstract In this multicenter study, we identified an increased risk of 30-day mortality among hospitalized children with carbapenem-resistant Enterobacteriaceae (CRE) isolated from clinical cultures compared with those with carbapenem-susceptible Enterobacteriaceae. We additionally report significant variation in antibiotic treatment for children with CRE infections with infrequent use of combination therapy.

Funder

National Institute of Child Health and Human Development

National Institute of Allergy and Infectious Diseases

Centers for Disease Control and Prevention

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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