Publications by authors named "Caitlin L Soto"

Article Synopsis
  • This study discusses the treatment of a 42-year-old woman with meningitis caused by carbapenem-resistant Acinetobacter baumannii, who struggled for 13 days with persistent positive cerebrospinal fluid cultures despite receiving several antibiotics.
  • After transitioning to a new treatment regimen of sulbactam-durlobactam and meropenem, her infection was finally cured, highlighting the importance of effective antibiotic selection in resistant infections.
  • The research identified specific genetic markers associated with the bacteria’s resistance to cefiderocol, underscoring the complexities involved in treating CRAB infections and the need for careful monitoring of antibiotic susceptibility.
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In a propensity-score-weighted cohort of 183 adults with carbapenem-resistant Enterobacterales bacteremia at 24 US hospitals, patients receiving short courses of active therapy (7-10 days, median 9 days) experienced similar odds of recurrent bacteremia or death within 30 days as those receiving prolonged courses of active therapy (14-21 days, median 14 days).

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Antibiotic resistance is increasing worldwide and can be largely attributed to excess antibiotic use. At our institution, 75% of patients were prescribed excess antibiotic days and total duration of therapy was appropriate in only 24.5% of cases per the reviewers.

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