Case series of carbapenemase-producing Enterobacteriaceae osteomyelitis: Feel it in your bones

oleh: B. Davido, L. Noussair, A. Saleh-Mghir, E. Salomon, F. Bouchand, M. Matt, C. Lawrence, T. Bauer, J.L. Herrmann, C. Perronne, J.L. Gaillard, M. Rottman, A. Dinh

Format: Article
Diterbitkan: Elsevier 2020-12-01

Deskripsi

Objectives: Limited data have been reported regarding osteomyelitis due to carbapenemase-producing Enterobacteriaceae (CPE), including co-infections with extended-spectrum β-lactamase (ESBL)-producing micro-organisms. Methods: We conducted a retrospective study in a reference centre for bone and joint infections from 2011 to 2019 among patients infected with CPE. Results: Nine patients (mean age 46.8 ± 16.6 years), including three with infected implants, were identified. Infections were mostly polymicrobial (n = 8/9), including Staphylococcus aureus (n = 6/9). CPE were mainly OXA-48-type, associated with ESBL-producing Enterobacteriaceae (n = 8/9), of which 5/9 isolates were Klebsiella pneumoniae. Control of the infection was achieved in seven cases. Conclusions: CPE osteomyelitides are essentially polymicrobial and fluoroquinolone-resistant infections, highlighting the need for efficient surgery with implant removal.