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A Delayed Inoculation Model of Chronic Pseudomonas aeruginosa Wound Infection
Published on: February 20, 2020
Impact of multidrug-resistant Pseudomonas aeruginosa infection on patient outcomes
Elizabeth B Hirsch1, Vincent H Tam
1University of Houston College of Pharmacy, 1441 Moursund Street, Houston, TX 77030, USA.
Abstract:
Rates of antibiotic resistance in Pseudomonas aeruginosa are increasing worldwide. The multidrug-resistant (MDR) phenotype in P. aeruginosa could be mediated by several mechanisms including multidrug efflux systems, enzyme production, outer membrane protein (porin) loss and target mutations. Currently, no international consensus on the definition of multidrug resistance exists, making direct comparison of the literature difficult. Inappropriate empirical therapy has been associated with increased mortality in P. aeruginosa infections; delays in starting appropriate therapy may contribute to increased length of hospital stay and persistence of infection. In addition, worse clinical outcomes may be associated with MDR infections owing to limited effective antimicrobial options. This article aims to summarize the contemporary literature on patient outcomes following infections caused by drug-resistant P. aeruginosa. The impact of antimicrobial therapy on patient outcomes, mortality and morbidity; and the economic impact of MDR P. aeruginosa infections will be examined.
Insights
Antibiotic resistance in Pseudomonas aeruginosa is rising globally. This review examines patient outcomes, mortality, and economic impacts of multidrug-resistant (MDR) P. aeruginosa infections, highlighting challenges in treatment and comparison.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Background:
- Rising global rates of antibiotic resistance in Pseudomonas aeruginosa.
- Multidrug-resistant (MDR) P. aeruginosa infections pose significant clinical challenges.
- Lack of a universal definition for MDR complicates literature comparison.
Purpose of the Study:
- To summarize current literature on patient outcomes associated with drug-resistant P. aeruginosa infections.
- To examine the impact of antimicrobial therapy on mortality and morbidity.
- To investigate the economic burden of MDR P. aeruginosa.
Main Methods:
- Systematic review of contemporary literature.
- Analysis of studies reporting patient outcomes, mortality, and morbidity.
- Examination of economic data related to MDR P. aeruginosa infections.
Main Results:
- Inappropriate empirical therapy linked to increased mortality.
- Delays in appropriate treatment correlate with longer hospital stays and persistent infections.
- MDR infections associated with poorer clinical outcomes due to limited treatment options.
Conclusions:
- Drug-resistant P. aeruginosa infections lead to worse patient outcomes and increased healthcare costs.
- Effective antimicrobial strategies and clear definitions of MDR are crucial.
- Further research is needed to address the growing threat of MDR P. aeruginosa.
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