Publications by authors named "M Rodriguez-Aguirregabiria"

Rapid multiplex molecular syndromic panels (RMMSP) (3 or more pathogens and time-to-results < 6 h) allow simultaneous detection of multiple pathogens and genotypic resistance markers. Their implementation has revolutionized the clinical landscape by significantly enhancing diagnostic accuracy and reducing time-to-results in different critical conditions. The current revision is a comprehensive but not systematic review of the literature.

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Article Synopsis
  • Gram-negative MDR bacteria like Enterobacterales, Acinetobacter baumannii, and Pseudomonas aeruginosa create significant clinical challenges due to complex infections and diagnostics, especially with MBL-producing strains.
  • While colistin is effective against these pathogens, its use is limited by resistance and potential kidney damage, making it a last-resort option.
  • Newer combinations, including aztreonam with avibactam and cefiderocol, show promising results and are favored for treating MBL-producing infections, with more research needed to refine treatment strategies.
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Carbapenem-resistant (CRAB) infections are associated with poor outcomes depending on patient's conditions, clinical severity and type of infection, and treatment is challenging given the limited therapeutic options available. The aim of this study was to describe the clinical and microbiological characteristics of two outbreaks caused by CRAB in an intensive care unit (ICU). In addition, the mechanisms of resistance detected in these strains and the treatment chosen according to the available therapeutic options were analyzed.

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The COVID-19 pandemic has led to the admission of a high number of patients to the ICU, generally due to severe respiratory failure. Since the appearance of the first cases of SARS-CoV-2 infection, at the end of 2019, in China, a huge number of treatment recommendations for this entity have been published, not always supported by sufficient scientific evidence or with methodological rigor necessary. Thanks to the efforts of different groups of researchers, we currently have the results of clinical trials, and other types of studies, of higher quality.

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