Table 1.
No. | Age(y) /Sex | Diagnosis | MELD Score/PELD Score | Procedure | Infection | SOFA Score | T from CRKP Onset to LT(d) | Carbapenemase | Prior Antibiotics | Source Control | Septic Shock | Sepsis | Prior Antibiotics Time (d) | T from CRKP Onset to CZA Initiation(d) | Concomitant Tx | Tx Duration (d) | M/O | C/O |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 48/M | HBV-LC | 15 | DDLT | BSI, IAI, PI | 13 | 1 | KPC-2 | Initial: CPZ/SBT, CAZ, IMP, VAN, FOS, MEM, TGC; Second: MEM, POL | YES | YES | YES | 32 | 10 | Initial: MEM, second: POL+LEV+VAN | Initial: 6, Second:17 | P | Die |
2 | 45/M | HCC | 7 | DDLT | BSI, IAI | 12 | 62 | KPC-2 | IMP, FOS, MEM, TGC, AMI, VAN, CAZ | YES | NO | YES | 33 | 30 | MEM | 5 | P | Die |
3 | 54/M | HCV-LC | 11 | DDLT | BSI | 17 | 3 | KPC-2 | CAZ | NO | NO | NO | 5 | 3 | MEM | 19 | E | Die |
4 | 37/M | ACLF | 35 | DDLT | PI | 15 | 1 | KPC-2 | CAZ, MEM, VAN | NO | NO | NO | 13 | 10 | VAN+LEV | 8 | P | Improve |
5 | 41/M | ACLF | 28 | DDLT | IAI, PI | 8 | 55 | KPC-2 | Initial: IMP Second: AMI, LEV, VAN, CPZ/SBT, PIP/TAZ |
YES | NO | NO | 36 | 1 | Initial: MET; second: AZM+ MET | Initial:13, Second:10 | P | Die |
6 | 46/F | PLD | 10 | DDLT | CRBSI | 2 | 6 | KPC-2 | MEM, TGC, VAN | NO | NO | NO | 19 | 7 | - | 6 | E | Improve |
7 | 67/M | ACLF, ALD | 21 | DDLT | IAI, CRBSI | 14 | 3 | KPC-2 | CAZ, IMP, VAN | YES | NO | NO | 31 | 1 | AZM | 11 | E | Improve |
8 | 50/M | HBV-LC | 18 | DDLT | IAI | 19 | 56 | KPC-2 | CPZ/SBT | YEA | NO | NO | 9 | 6 | AZM | 9 | E | Improve |
9 | 65/M | HCC, HBV-LC | 11 | DDLT | BSI | 5 | 81 | KPC-2 | CAZ | NO | NO | NO | 4 | 1 | - | 9 | E | Die |
10 | 68/M | ACLF | 24 | DDLT | BSI, IAI, PI | 15 | 3 | KPC-2 | Initial: MOX, LEV, CPZ/SBT, MEM Second: CPZ/SBT, TGC, VAN, MEM |
YES | NO | YES | 16 | 1 | Initial:MEM, PIP/TAZ Second:- |
Initial: 31 Second:4 |
P | Die |
11 | 39/F | Wilson’s disease | 32 | DDLT | PI | 14 | 5 | KPC-2 | CAZ, PIP/TAZ | NO | NO | NO | 10 | 1 | AZM | 13 | E | Improve |
12 | 47/M | ACLF | 41 | DDLT | BSI, IAI | 17 | 3 | KPC-2 | CAZ, LEV | YES | NO | NO | 3 | 2 | MEM | 19 | E | Improve |
13 | 65/M | HCC | 8 | DDLT | BSI | 8 | 4 | KPC-2 | CAZ, MET, CPZ/SBT | NO | NO | NO | 5 | 4 | - | 11 | E | Improve |
14 | 59/M | HCC | 6 | DDLT | PI | 9 | 45 | KPC-2 | MEM, MOX, LIN, VAN, IMP | NO | NO | NO | 13 | 2 | - | 8 | P | Die |
15 | 55/M | ACLF | 24 | DDLT | PI | 9 | 3 | KPC-2 | MEM, VAN, TGC | NO | NO | NO | 5 | 1 | MET, POL | 13 | E | Improve |
16 | 19/M | Carol’s syndrome | 20 | LDLT | IAI | 13 | 34 | NDM-1 | MEM, VAN, CPZ/SBT | YES | NO | NO | 31 | 3 | MET | 10 | P | Die |
17 | 30/M | ACLF | 35 | DDLT | BSI | 11 | 7 | KPC-2 | CPZ/SBT, TEI | NO | NO | NO | 5 | 1 | - | 9 | E | Improve |
18 | 1/F | BA | 23 | LDLT | PI, IAI | 12 | 3 | NDM-1 | PIP/TAZ, MEM, TGC, CPZ/SBT, | YES | YES | NO | 27 | 26 | - | 3 | P | Die |
19 | 2/F | BA | 7 | LDLT | IAI | 9 | 2 | NDM-1 | TEI, TGC, MEM, CPZ/SBT | YES | NO | NO | 33 | 32 | AZM | 18 | E | Improve |
20 | 12/F | BA | 28 | DDLT | IAI | 4 | 29 | KPC-2 | CEF, MEM, LNI, VAN, TGC, | YES | NO | NO | 33 | 3 | MET | 14 | E | Improve |
21 | 0.5/F | BA | 62 | LDLT | IAI | 7 | 7 | NDM-1 | MEM, TGC, CAZ | YES | NO | NO | 37 | 9 | - | 7 | E | Improve |
Abbreviations: T, time; Tx, treatment; HBV-LC, hepatitis B-related liver cirrhosis; HCC, hepatocellular carcinoma; ACLF, acute-on-chronic liver failure; ALD, alcoholic liver disease; PLD, polycystic liver disease; BA, biliary atresia; DDLT, deceased donor liver transplantation; LDLT, living donor liver transplantation; BSI, bloodstream infection; VAP, ventilator-associated pneumonia; IAI, intraabdominal infection; CRBSI, catheter-related bloodstream infection; PI, pulmonary infection; AMI, amikacin; LIN, linezolid; POL, polymyxin; LEV, levofloxacin; MOX, moxifloxacin; AZM, aztreonam; CAZ, ceftazidime; MET, metronidazole; CPZ/SBT, cefoperazone-sulbactam; PIP/TAZ, piperacillin and tazobactam; LIN, linezolid; TEI, teicoplanin; CEF, cefepime; E, eradication; P, persistence; M/O, microbiological outcome; C/O, clinical outcome.