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Carbapenem-Resistant Infections in Neonates and Children in Latin America: A Literature Review

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. Green open access

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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.

Type: Article
Title: Carbapenem-Resistant Infections in Neonates and Children in Latin America: A Literature Review
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.4269/ajtmh.24-0422
Publisher version: https://doi.org/10.4269/ajtmh.24-0422
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Infection, Immunity and Inflammation Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10205094
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