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Clinical epidemiology of the global expansion of Klebsiella pneumoniae carbapenemases

Open access
Munoz-Price, L Silvia, Poirel, Laurent, Bonomo, Robert A, Schwaber, Mitchell J, Daikos, George L, Cormican, Martin, Cornaglia, Giuseppe, Garau, Javier, Gniadkowski, Marek, Hayden, Mary K, Kumarasamy, Karthikeyan, Livermore, David M, Maya, Juan J, Nordmann, Patrice, Patel, Jean B, Paterson, David L, Pitout, Johann, Villegas, Maria Virginia, Wang, Hui, Woodford, Neil, Quinn, John P·2013·The Lancet Infectious Diseases

Abstract

Klebsiella pneumoniae carbapenemases (KPCs) were originally identified in the USA in 1996. Since then, these versatile β-lactamases have spread internationally among Gram-negative bacteria, especially K pneumoniae, although their precise epidemiology is diverse across countries and regions. The mortality described among patients infected with organisms positive for KPC is high, perhaps as a result of the limited antibiotic options remaining (often colistin, tigecycline, or aminoglycosides). Triple drug combinations using colistin, tigecycline, and imipenem have recently been associated with improved survival among patients with bacteraemia. In this Review, we summarise the epidemiology of KPCs across continents, and discuss issues around detection, present antibiotic options and those in development, treatment outcome and mortality, and infection control. In view of the limitations of present treatments and the paucity of new drugs in the pipeline, infection control must be our primary defence for now.

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Metadata

Authors
Munoz-Price, L. S., Poirel, L., Bonomo, R. A., Schwaber, M. J., Daikos, G. L., Cormican, M., Cornaglia, G., Garau, J., Gniadkowski, M., Hayden, M. K., Kumarasamy, K., Livermore, D. M., Maya, J. J., Nordmann, P., Patel, J. B., Paterson, D. L., Pitout, J., Villegas, M. V., Wang, H., Woodford, N., & Quinn, J. P.
Venue
The Lancet Infectious Diseases
Publisher
Elsevier BV
Published
2013-09
Volume
13
Issue
9
Pages
785-796
ISSN
1473-3099 (ISSN-L)
OpenAlex
W2145111808
Cited by
1,627
References
2
FWCI
54.09
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Clinical epidemiology of the global expansion of Klebsiella pneumoniae carbapenemases. https://app.cochat.ai/papers/10.1016/s1473-3099(13)70190-7
The paper
Munoz-Price, L. S., Poirel, L., Bonomo, R. A., Schwaber, M. J., Daikos, G. L., Cormican, M., Cornaglia, G., Garau, J., Gniadkowski, M., Hayden, M. K., Kumarasamy, K., Livermore, D. M., Maya, J. J., Nordmann, P., Patel, J. B., Paterson, D. L., Pitout, J., Villegas, M. V., Wang, H., . . . Quinn, J. P. (2013). Clinical epidemiology of the global expansion of Klebsiella pneumoniae carbapenemases. The Lancet Infectious Diseases. https://doi.org/10.1016/s1473-3099(13)70190-7

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.