Publications by authors named "G Raponi"

Background: Fosfomycin (FOS) is gaining increasing importance as part of combination therapy for the treatment of carbapenem-resistant Acinetobacter baumannii (CRAB) and KPC-producing Klebsiella pneumoniae (KPC-Kp), thanks to its in vitro synergism with several antibiotics, high tissue distribution and good tolerability. We analyzed the effect on 30-day survival of FOS-containing regimens compared to non-FOS-containing regimens in critically ill patients admitted to the intensive care unit with CRAB or KPC-Kp infections. Secondary objectives were to evaluate clinical cure and microbiologic eradication in the FOS vs.

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Article Synopsis
  • Carbapenemase-producing bacteria, particularly KPC-3-producing sequence type (ST) 512, pose a significant global health threat, with increasing resistance to advanced treatments like ceftazidime/avibactam (CZA).
  • This study analyzed three isolates from a single patient over 78 days, including two that originated from a liver abscess, focusing on their antimicrobial resistance and genetic characteristics.
  • The final isolate, hmv-318Kp, demonstrated CZA resistance and a hypermucoviscous phenotype due to specific genetic mutations, indicating an evolution of this strain in terms of infectivity and resistance mechanisms.
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New antimicrobial molecules effective against , known as an antibiotic-resistant "high-priority pathogen", are urgently required because of its ability to develop biofilms related to healthcare-acquired infections. In this study, for the first time, the anti-biofilm and anti-virulence activities of a polyphenolic extract of extra-virgin olive oil as well as purified oleocanthal and oleacein, toward clinical isolates were investigated. The main result of our study was the anti-virulence activity of the mixture of oleacein and oleocanthal toward multidrug-resistant and intermediately resistant strains of isolated from patients with ventilator-associated pneumonia or surgical site infection.

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Background: We assessed the clinical effectiveness of cefiderocol (CFDC) in comparison with colistin (COL) for the treatment of carbapenem-resistant Acinetobacter baumannii (CRAB) bloodstream infections (BSI).

Materials/methods: Retrospective cohort study including adults with CRAB-BSI. Outcomes were mortality, clinical cure and adverse events during therapy.

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Background: COVID-19-associated pulmonary aspergillosis (CAPA) is burdened by high mortality. Data are lacking about non-ICU patients. Aims of this study were to: (i) assess the incidence and prevalence of CAPA in a respiratory sub-intensive care unit, (ii) evaluate its risk factors and (iii) impact on in-hospital mortality.

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