Antibiotic Resistant Infection Clinical Trial
Official title:
How to Optimize the Combined Antibiotic Therapy for Carbapenem Resistant Klebsiella Pneumoniae
The infection of carbapenem resistant klebsiella pneumoniae (CRKP) is increasingly serious.Based on the early experimental basis and relevant research background,this study intends to separate and purify the CRKP from the bronchoalveolar lavage fluid (BALF) of the clinical patients.Designed by checkerboard assay and time-kill assay(TKA),this study can explore the best combination therapy based on carbapenems.
1. Collect the BALF from patients diagnosed with CRKP infection in surgical intensive care
unit(SICU)of Shanghai 10th people's hospital.
2. Separate and purify the BALF. Divide each CRKP into four treatment groups based on
meropenem.
3.1 By checkerboard method and microdilution broth method,get the minimal inhibitory
concentration (MICS) of two antibiotics,then calculate the fractional inhibitory
concentration (FIC) index according to MIC results.
3.2 Observe the effect of two antibiotics on the growth of CRKP by TKA.
4.By the above two invitro experiments, analyze the data of the experimental results and get
the best combination therapy based on carbapenems.
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