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The Evolving Threat of ESBL, AmpC, and KPC -lactamases - SWACM

The Evolving Threat of ESBL, AmpC, and KPC -lactamases - SWACM

The Evolving Threat of ESBL, AmpC, and KPC -lactamases - SWACM

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Klebsiella pneumoniae Carbapenemase (<strong>KPC</strong>)<br />

• First reported in 2001 from an isolate in NC<br />

• Very rapid spread<br />

• 10 variants (<strong>KPC</strong>-2 through <strong>KPC</strong>-11)<br />

• Endemic in Northeastern USA, Puerto Rico, Colombia,<br />

Israel, <strong>and</strong> Greece<br />

• K. pneumoniae, other Enterobacteriaceae,<br />

Acinetobacter, P. aeruginosa<br />

• <strong>ESBL</strong> that also hydrolyzes carbapenems<br />

• Extensive multidrug resistance

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