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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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Miami <strong>KPC</strong> Outbreak<br />

• Admission file: XDR K. pneumoniae<br />

• Ignored<br />

• S to only colistin & gentamicin: PCR = <strong>KPC</strong> positive<br />

• 9 more pts over 3 months (8 identical PFGE type)<br />

• Clinical Impact:<br />

4/5 with bacteremia died<br />

1 other died<br />

2 renal failure<br />

Michelle Morris, University <strong>of</strong> Miami Hospital<br />

ICAAC/IDSA 2008, K-902<br />

36

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