Reyna-Figueroa J, Rojas-Vázquez E, Villeda-Gabriel G, Salyano-Peñuelas Y, Galván-Contreras R

Language: Spanish
References: 17
Page: 212-218
PDF size: 243.25 Kb.

ABSTRACT

Background. In 2020, four cases of neonatal infection with Raoultella planticola were reported in China. This agent is recognized for its importance in generating antimicrobial resistance, particularly to meropenem.
Case presentation. In 2023, eight (4%) of 197 neonates with sepsis were caused by R. planticola. Antimicrobial resistance reported for R. planticola was reported to cefepime and amikacin in case 1, to ampicillin sulbactam and ceftriaxone in case 5, and to cefoxitin in case 8. The remaining cases did not present antimicrobial resistance. In our series, four of the eight reported patients (50%) died; three had major malformations (37.7%) and seven were premature (87.5%), with an average gestational age of 32.1 weeks.
Conclusions. The common denominator of the literature highlights the recommendation that once R. planticola is identified in the hospital unit, it should be considered a microorganism with potential risk, due to its high capacity to develop resistance to carbapenems.

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