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Urinary sepsis: extended spectrum β‎-lactamase-producing E. coli 

Urinary sepsis: extended spectrum β‎-lactamase-producing E. coli
Chapter:
Urinary sepsis: extended spectrum β‎-lactamase-producing E. coli
Author(s):

Rishi Dhillon

, and Amber Arnold

DOI:
10.1093/med/9780199665754.003.0026
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date: 12 July 2020

Antibiotic resistance in Gram-negative organisms is increasing. Empirical antibiotic prescribing policies are based on local epidemiology. This chapter highlights a case of urinary sepsis due to an extended spectrum beta-lactamase (ESBL)-producing E. coli. The patient in the case is treated with the empirical antibiotic choice and dies. The microbiological identification and treatment of ESBL-producing organisms is discussed in reference to the correlation of in vitro susceptibility data with in vivo response. The role of beta-lactam-beta-lactamase inhibitor combinations (BLBLI) in vitro and the use of carbapenems for these organisms is discussed.

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