eprintid: 10205094 rev_number: 8 eprint_status: archive userid: 699 dir: disk0/10/20/50/94 datestamp: 2025-02-21 12:51:00 lastmod: 2025-02-21 12:51:55 status_changed: 2025-02-21 12:51:00 type: article metadata_visibility: show sword_depositor: 699 creators_name: Shanks, Gabriella creators_name: Grandjean, Louis title: Carbapenem-Resistant Infections in Neonates and Children in Latin America: A Literature Review ispublished: pub divisions: UCL divisions: B02 divisions: D13 divisions: G24 note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. abstract: Carbapenems are broad-spectrum beta-lactam antibiotics that are increasingly being used worldwide to treat multidrug-resistant infections, but since their introduction, carbapenem resistance has emerged. This phenomenon has been well documented in the adult population, but there is a paucity of evidence from the neonatal and pediatric populations. A literature search of carbapenem-resistant infections in Latin American neonates and children was conducted via PubMed/Medline and SCOPUS: 551 titles were screened, and 17 articles were included in the review. The most commonly reported predominant isolate was Klebsiella pneumoniae (11 of 17 studies). Genotypic data were available in 10 of 17 studies, and the KPC gene was the most commonly reported resistance gene. The mortality rate ranged from 13% to 52.6%. Carbapenem-resistant infections are prevalent in children and neonates in Latin America and are associated with high rates of mortality, highlighting the need for enhanced antimicrobial stewardship and surveillance within these populations. date: 2025-01-08 date_type: published publisher: American Society of Tropical Medicine and Hygiene official_url: https://doi.org/10.4269/ajtmh.24-0422 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2358005 doi: 10.4269/ajtmh.24-0422 medium: Electronic-Print pii: tpmd240422 lyricists_name: Grandjean, Louis lyricists_id: LGRAN67 actors_name: Grandjean, Louis actors_id: LGRAN67 actors_role: owner full_text_status: public publication: The American Journal of Tropical Medicine and Hygiene volume: 112 number: 1 pagerange: 26-29 event_location: United States issn: 0002-9637 citation: Shanks, Gabriella; Grandjean, Louis; (2025) Carbapenem-Resistant Infections in Neonates and Children in Latin America: A Literature Review. The American Journal of Tropical Medicine and Hygiene , 112 (1) pp. 26-29. 10.4269/ajtmh.24-0422 <https://doi.org/10.4269/ajtmh.24-0422>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10205094/1/tpmd-article-10.4269-ajtmh.24-0422.pdf