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Expert Rev Anti Infect Ther ; 19(2): 197-213, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32813566

RESUMO

INTRODUCTION: Carbapenemases are ß-lactamases able to hydrolyze a wide range of ß-lactam antibiotics, including carbapenems. Carbapenemase production in Enterobacterales, Pseudomonas aeruginosa, and Acinetobacter spp., with and without the co-expression of other ß-lactamases is a serious public health threat. Carbapenemases belong to three main classes according to the Ambler classification: class A, class B, and class D. AREAS COVERED: Carbapenemase-bearing pathogens are endemic in Latin America. In this review, we update the status of carbapenemases in Latin America and the Caribbean. EXPERT OPINION: Understanding the current epidemiology of carbapenemases in Latin America and the Caribbean is of critical importance to improve infection control policies limiting the dissemination of multi-drug-resistant pathogens and in implementing appropriate antimicrobial therapy.


Assuntos
Proteínas de Bactérias/metabolismo , Bactérias Gram-Negativas/enzimologia , Infecções por Bactérias Gram-Negativas/epidemiologia , beta-Lactamases/metabolismo , Antibacterianos/farmacologia , Proteínas de Bactérias/classificação , Região do Caribe/epidemiologia , Farmacorresistência Bacteriana Múltipla , Bactérias Gram-Negativas/efeitos dos fármacos , Infecções por Bactérias Gram-Negativas/microbiologia , Humanos , América Latina/epidemiologia , beta-Lactamases/classificação
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