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Journal of Education, Health and Sport

Effectiveness of Ceftazidime/Avibactam treatment for infections caused by Klebsiella pneumoniae Carbapenemase (KPC), a 30-day mortality perspective. Comparison of results with control groups treated with other antibiotics
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  • Effectiveness of Ceftazidime/Avibactam treatment for infections caused by Klebsiella pneumoniae Carbapenemase (KPC), a 30-day mortality perspective. Comparison of results with control groups treated with other antibiotics
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Effectiveness of Ceftazidime/Avibactam treatment for infections caused by Klebsiella pneumoniae Carbapenemase (KPC), a 30-day mortality perspective. Comparison of results with control groups treated with other antibiotics

Authors

  • Patrycja Paschke SP ZOZ MSWiA w Katowicach im. Sierżanta Grzegorza Załogi Ul. Wita Stwosza 41, 40-514 Katowice https://orcid.org/0009-0006-0306-3332
  • Igor Miczek SP ZOZ MSWiA w Katowicach im. Sierżanta Grzegorza Załogi, Ul. Wita Stwosza 41, 40-514 Katowice. https://orcid.org/0009-0000-8476-7943
  • Maria Sambura Wojewódzki Szpital Specjalistyczny nr 5 im. św. Barbary w Sosnowcu, Plac Medyków 1, 41-200 Sosnowiec, Polska. https://orcid.org/0009-0007-5518-1418
  • Sara Rosołowska-Żak Wojewódzki Szpital Specjalistyczny nr 5 im. św. Barbary w Sosnowcu, Plac Medyków 1, 41-200 Sosnowiec, Polska. https://orcid.org/0009-0003-6202-2475
  • Julia Pałuchowska ZOZ w Nysie ul. Bohaterów Warszawy 23 , 48-300 Nysa. https://orcid.org/0009-0009-4163-2569
  • Anna Szymkowicz ZOZ w Nysie ul. Bohaterów Warszawy 23 , 48-300 Nysa. https://orcid.org/0009-0009-2596-6593

DOI:

https://doi.org/10.12775/JEHS.2024.71.49182

Keywords

Klebsiella pneumoniae Carbapenemase, ceftazidime/avibactam, 30-day mortality, infections, cohort study

Abstract

Introduction: Infections caused by Klebsiella pneumoniae carbapenemase (KPC) pose a significant clinical challenge due to increasing antibiotic resistance. This study analyzes the effectiveness of ceftazidime/avibactam treatment for KPC infections, focusing on 30-day mortality and comparing results with control groups treated with different antibiotics.

Material and methods: We conducted a retrospective analysis of six cohort studies, comparing thirty-day mortality in patients treated with ceftazidime/avibactam with control groups using other antibiotics. The studies included patients infected with KPC, and the analysis focused on therapeutic effectiveness.

Aim of the study: The aim of the study is to compare the results in terms of 30-day mortality in groups treated with ceftazidime/avibactam compared to control groups using different antibiotics.   Conclusions: Data analysis from various studies revealed varied 30-day mortality outcomes in groups treated with ceftazidime/avibactam compared to control groups using different antibiotics. Ceftazidime/avibactam proved to be more effective in all studies, reducing mortality rates compared to other treatment regimens. We emphasize that emerging antibiotic resistance, especially in the case of KPC, requires a comprehensive therapeutic approach. Despite promising ceftazidime/avibactam results, factors such as overall patient health and treatment delays may influence final therapy outcomes. We also highlight controversies regarding combination therapy vs. monotherapy, necessitating further research. Our work underscores the importance of monitoring the effectiveness of KPC infection treatment and exploring new therapeutic strategies. Further clinical studies are essential to develop a fuller understanding and optimal therapeutic protocols in the face of the growing antibiotic resistance problem.

References

Ashurst JV, Dawson A. Klebsiella Pneumonia. [Updated 2023 Jul 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519004/

Bagley, S. T. (1985). Habitat association of Klebsiella species. In Infection Control (Vol. 6, Issue 2). https://doi.org/10.1017/S0195941700062603

Murray, C. J., Ikuta, K. S., Sharara, F., Swetschinski, L., Robles Aguilar, G., Gray, A., Han, C., Bisignano, C., Rao, P., Wool, E., Johnson, S. C., Browne, A. J., Chipeta, M. G., Fell, F., Hackett, S., Haines-Woodhouse, G., Kashef Hamadani, B. H., Kumaran, E. A. P., McManigal, B., … Naghavi, M. (2022). Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis. The Lancet, 399(10325). https://doi.org/10.1016/S0140-6736(21)02724-0

Ding L, Shi Q, Han R, Yin D, Wu S, Yang Y, Guo Y, Zhu D, Hu F. Comparison of Four Carbapenemase Detection Methods for blaKPC-2 Variants. Microbiol Spectr. 2021 Dec 22;9(3):e0095421. doi: 10.1128/Spectrum.00954-21. Epub 2021 Dec 22. PMID: 34935416; PMCID: PMC8693920.

Zhou, Y., Wu, C., Wang, B., Xu, Y. L., Zhao, H., Guo, Y., Wu, X., Yu, J., Rao, L., Wang, X., & Yu, F. (2023). Characterization difference of typical KL1, KL2 and ST11-KL64 hypervirulent and carbapenem-resistant Klebsiella pneumoniae. Drug Resistance Updates, 67. https://doi.org/10.1016/j.drup.2023.100918

Yang, Y., Yan, Y. H., Schofield, C. J., McNally, A., Zong, Z., & Li, G. B. (2023). Metallo-β-lactamase-mediated antimicrobial resistance and progress in inhibitor discovery. In Trends in Microbiology (Vol. 31, Issue 7). https://doi.org/10.1016/j.tim.2023.01.013

Yahav, D., Giske, C. G., Gramatniece, A., Abodakpi, H., Tam, V. H., & Leibovici, L. (2021). New β-lactam–β-lactamase inhibitor combinations. Clinical Microbiology Reviews, 34(1). https://doi.org/10.1128/CMR.00115-20

Aslan, A. T., Ezure, Y., Horcajada, J. P., Harris, P. N. A., & Paterson, D. L. (2023). In vitro, in vivo and clinical studies comparing the efficacy of ceftazidime-avibactam monotherapy with ceftazidime-avibactam-containing combination regimens against carbapenem-resistant Enterobacterales and multidrug-resistant Pseudomonas aeruginosa isolates or infections: a scoping review. In Frontiers in Medicine (Vol. 10). https://doi.org/10.3389/fmed.2023.1249030

Corcione, S., de Benedetto, I., Shbaklo, N., Torsello, G., Lupia, T., Bianco, G., Cavallo, R., Brazzi, L., Montrucchio, G., & de Rosa, F. G. (2023). Ceftazidime-Avibactam (C/A) Resistant, Meropenem Sensitive KPC-Producing Klebsiella pneumoniae in ICU Setting: We Are What We Are Treated with? International Journal of Molecular Sciences, 24(5). https://doi.org/10.3390/ijms24054767

Petrosillo, N., Taglietti, F., & Granata, G. (2019). Treatment options for colistin resistant klebsiella pneumoniae: Present and future. In Journal of Clinical Medicine (Vol. 8, Issue 7). https://doi.org/10.3390/jcm8070934

Zhang, F., Zhong, J., Ding, H., & Liao, G. (2021). Efficacy of ceftazidime-avibactam in the treatment of carbapenem-resistant klebsiella pneumoniae infection after kidney transplantation. Infection and Drug Resistance, 14. https://doi.org/10.2147/IDR.S343505

Ding L, Shen S, Chen J, Tian Z, Shi Q, Han R, Guo Y, Hu F. Klebsiella pneumoniae carbapenemase variants: the new threat to global public health. Clin Microbiol Rev. 2023 Dec 20;36(4):e0000823. doi: 10.1128/cmr.00008-23. Epub 2023 Nov 8. PMID: 37937997; PMCID: PMC10732083.

Logan, L. K., & Weinstein, R. A. (2017). The epidemiology of Carbapenem-resistant enterobacteriaceae: The impact and evolution of a global menace. Journal of Infectious Diseases, 215 https://doi.org/10.1093/infdis/jiw282

Chiotos, K., Hayes, M., Gerber, J. S., & Tamma, P. D. (2019). Treatment of Carbapenem-Resistant Enterobacteriaceae Infections in Children. In Journal of the Pediatric Infectious Diseases Society (Vol. 9, Issue 1). https://doi.org/10.1093/jpids/piz085

Shields, R. K., Potoski, B. A., Haidar, G., Hao, B., Doi, Y., Chen, L., Press, E. G., Kreiswirth, B. N., Clancy, C. J., & Nguyen, M. H. (2016). Clinical Outcomes, Drug Toxicity, and Emergence of Ceftazidime-Avibactam Resistance among Patients Treated for Carbapenem-Resistant Enterobacteriaceae Infections. Clinical Infectious Diseases, 63(12). https://doi.org/10.1093/cid/ciw636

Giddins, M. J., Macesic, N., Annavajhala, M. K., Stump, S., Khan, S., McConville, T. H., Mehta, M., Gomez-Simmonds, A., & Uhlemanna, A. C. (2018). Successive emergence of ceftazidime-avibactam resistance through distinct genomic adaptations in blaKPC-2-harboring klebsiella pneumoniae sequence type 307 isolates. Antimicrobial Agents and Chemotherapy, 62(3). https://doi.org/10.1128/AAC.02101-17

van Duin, D., Lok, J. J., Earley, M., Cober, E., Richter, S. S., Perez, F., Salata, R. A., Kalayjian, R. C., Watkins, R. R., Doi, Y., Kaye, K. S., Fowler, V. G., Paterson, D. L., Bonomo, R. A., & Evans, S. (2018). Colistin Versus Ceftazidime-Avibactam in the Treatment of Infections Due to Carbapenem-Resistant Enterobacteriaceae. Clinical Infectious Diseases, 66(2). https://doi.org/10.1093/cid/cix783

Shields, R. K., Nguyen, M. H., Chen, L., Press, E. G., Potoski, B. A., Marini, R. v., Doi, Y., Kreiswirth, B. N., & Clancy, C. J. (2017). Ceftazidime-avibactam is superior to other treatment regimens against carbapenem-resistant Klebsiella pneumoniae bacteremia. Antimicrobial Agents and Chemotherapy, 61(8). https://doi.org/10.1128/AAC.00883-17

Zheng, G., Cai, J., Zhang, L., Chen, D., Wang, L., Qiu, Y., Deng, H., Bai, H., Bian, X., & He, J. (2022). Ceftazidime/Avibactam-Based Versus Polymyxin B-Based Therapeutic Regimens for the Treatment of Carbapenem-Resistant Klebsiella pneumoniae Infection in Critically Ill Patients: A Retrospective Cohort Study. Infectious Diseases and Therapy, 11(5). https://doi.org/10.1007/s40121-022-00682-0

Tumbarello, M., Trecarichi, E. M., Corona, A., de Rosa, F. G., Bassetti, M., Mussini, C., Menichetti, F., Viscoli, C., Campoli, C., Venditti, M., de Gasperi, A., Mularoni, A., Tascini, C., Parruti, G., Pallotto, C., Sica, S., Concia, E., Cultrera, R., de Pascale, G., … Viale, P. (2019). Efficacy of Ceftazidime-Avibactam Salvage Therapy in Patients with Infections Caused by Klebsiella pneumoniae Carbapenemase-producing K. pneumoniae. Clinical Infectious Diseases, 68(3). https://doi.org/10.1093/cid/ciy492

Luterbach, C. L., Qiu, H., Hanafin, P. O., Sharma, R., Piscitelli, J., Lin, F. C., Ilomaki, J., Cober, E., Salata, R. A., Kalayjian, R. C., Watkins, R. R., Doi, Y., Kaye, K. S., Nation, R. L., Bonomo, R. A., Landersdorfer, C. B., van Duin, D., & Rao, G. G. (2022). A Systems-Based Analysis of Mono- and Combination Therapy for Carbapenem-Resistant Klebsiella pneumoniae Bloodstream Infections. Antimicrobial Agents and Chemotherapy, 66(10). https://doi.org/10.1128/aac.00591-22

Gu, J., Xu, J., Zuo, T. ting, & Chen, Y. bin. (2021). Ceftazidime-avibactam in the treatment of infections from carbapenem-resistant Klebsiella pneumoniae: Ceftazidime-avibactam against CR-KP infections. Journal of Global Antimicrobial Resistance, 26. https://doi.org/10.1016/j.jgar.2021.04.022

Chegini, Z., Khoshbayan, A., Vesal, S., Moradabadi, A., Hashemi, A., & Shariati, A. (2021). Bacteriophage therapy for inhibition of multi drug‐resistant uropathogenic bacteria: a narrative review. In Annals of Clinical Microbiology and Antimicrobials (Vol. 20, Issue 1). https://doi.org/10.1186/s12941-021-00433-y

Holloway, A. J., Yu, J. J., Arulanandam, B. P., Hoskinson, S. M., & Eaves-Pyles, T. (2018). Cystatins 9 and C as a novel immunotherapy treatment that protects against multidrug-resistant New Delhi metallo-beta-lactamase-1-producing klebsiella pneumoniae. Antimicrobial Agents and Chemotherapy, 62(3). https://doi.org/10.1128/AAC.01900-17

Johnke, J., Fraune, S., Bosch, T. C. G., Hentschel, U., & Schulenburg, H. (2020). Bdellovibrio and Like Organisms Are Predictors of Microbiome Diversity in Distinct Host Groups. Microbial Ecology, 79(1). https://doi.org/10.1007/s00248-019-01395-7

Boucher HW, Talbot GH, Benjamin DK, Jr., et al. 10 × '20 Progress--development of new drugs active against gram-negative bacilli: an update from the Infectious Diseases Society of America(Vol. 35, Issue 8). https://doi.org/10.1002/phar.1622

Tacconelli, E., & Magrini, N. (2017). Global Priority List Of Antibiotic-Resistant Bacteria To Guide Research, Discovery, And Development Of New Antibiotics. World Health Organization, 43(148)

Zheng, G., Zhang, J., Wang, B., Cai, J., Wang, L., Hou, K., Zhang, Y., Zhang, L., Yang, Z., He, J., & Bian, X. (2021). Ceftazidime-Avibactam in Combination with In Vitro Non-susceptible Antimicrobials Versus Ceftazidime-Avibactam in Monotherapy in Critically Ill Patients with Carbapenem-Resistant Klebsiella Pneumoniae Infection: A Retrospective Cohort Study. Infectious Diseases and Therapy, 10(3). https://doi.org/10.1007/s40121-021-00479-7

Pragasam, A. K., Veeraraghavan, B., Shankar, B., Bakthavatchalam, Y., Mathuram, A., George, B., Chacko, B., Korula, P., & Anandan, S. (2019). Will ceftazidime/avibactam plus aztreonam be effective for NDM and OXA-48-Like producing organisms: Lessons learnt from in vitro study. Indian Journal of Medical Microbiology, 37(1). https://doi.org/10.4103/ijmm.IJMM_19_189

Temkin, E., Torre-Cisneros, J., Beovic, B., Benito, N., Giannella, M., Gilarranz, R., Jeremiah, C., Loeches, B., MacHuca, I., Jiménez-Martín, M. J., Martínez, J. A., Mora-Rillo, M., Navas, E., Osthoff, M., Pozo, J. C., Ramos, J. C. R., Rodriguez, M., Sánchez-García, M., Viale, P., … Carmeli, Y. (2017). Ceftazidime-avibactam as salvage therapy for infections caused by carbapenem-resistant organisms. Antimicrobial Agents and Chemotherapy, 61(2). https://doi.org/10.1128/AAC.01964-16

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Published

2024-05-20

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PASCHKE, Patrycja, MICZEK, Igor, SAMBURA, Maria, ROSOŁOWSKA-ŻAK, Sara, PAŁUCHOWSKA, Julia and SZYMKOWICZ, Anna. Effectiveness of Ceftazidime/Avibactam treatment for infections caused by Klebsiella pneumoniae Carbapenemase (KPC), a 30-day mortality perspective. Comparison of results with control groups treated with other antibiotics. Journal of Education, Health and Sport. Online. 20 May 2024. Vol. 71, p. 49182. [Accessed 6 July 2025]. DOI 10.12775/JEHS.2024.71.49182.
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Vol. 71 (2024)

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Copyright (c) 2024 Patrycja Paschke, Igor Miczek, Maria Sambura, Sara Rosołowska-Żak, Julia Pałuchowska, Anna Szymkowicz

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