The Continuing Plague of Extended-spectrum β-lactamase-producing Enterobacteriaceae Infections

Infect Dis Clin North Am. 2016 Jun;30(2):347-375. doi: 10.1016/j.idc.2016.02.003.

Abstract

Antimicrobial resistance is a common iatrogenic complication of modern life and medical care. One of the most demonstrative examples is the exponential increase in the incidence of extended-spectrum β-lactamases (ESBLs) production among Enterobacteriaceae, which is the most common human pathogens outside of the hospital settings. Infections resulting from ESBL-producing bacteria are associated with devastating outcomes, now affecting even previously healthy individuals. This development poses an enormous burden and threat to public health. This paper aims to narrate the evolving epidemiology of ESBL infections, and highlight current challenges in terms of management and prevention of these common infections.

Keywords: Escherichia coli; Gram-negative; Klebsiella pneumoniae; MDROs; Proteus mirabilis.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Drug Resistance, Multiple, Bacterial*
  • Enterobacteriaceae Infections* / drug therapy
  • Enterobacteriaceae Infections* / microbiology
  • Enterobacteriaceae* / drug effects
  • Enterobacteriaceae* / enzymology
  • Humans
  • Inappropriate Prescribing
  • beta-Lactam Resistance*
  • beta-Lactamases*

Substances

  • Anti-Bacterial Agents
  • beta-Lactamases