Lesson plan

ESCAPPM

ESCAPPM or ESCHAAPPM is a mnemonic for a group of gram-negative bacteria with inducible beta-lactamase activity that is chromosomally mediated. *E: Enterobacter spp. *S: Serratia spp. *C: Citrobacter freundii *H: Hafnia spp. *A: Acinetobacter spp. *A: Aeromonas spp. *P: Proteus spp. (excluding P. mirabilis) *P: Providencia spp. *M: Morganella morganii In vitro sensitivities are not applicable in vivo. In general, treatment with cephalosporins results in induction of AmpC beta-lactamase. Treatment with an aminoglycoside or carbapenem is usually indicated. Carbapenems are a class of beta-lactam antibiotics with a broad spectrum of antibacterial activity. They have a structure that renders them highly resistant to beta-lactamases. Examples of carbapenems include meropenem and imipenem.

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Article summary

ESCAPPM or ESCHAAPPM is a mnemonic for a group of gram-negative bacteria with inducible beta-lactamase activity that is chromosomally mediated. *E: Enterobacter spp. *S: Serratia spp. *C: Citrobacter freundii *H: Hafnia spp. *A: Acinetobacter spp. *A: Aeromonas spp. *P: Proteus spp. (excluding P. mirabilis) *P: Providencia spp. *M: Morganella morganii In vitro sensitivities are not applicable in vivo. In general, treatment with cephalosporins results in induction of AmpC beta-lactamase. Treatment with an aminoglycoside or carbapenem is usually indicated. Carbapenems are a class of beta-lactam antibiotics with a broad spectrum of antibacterial activity. They have a structure that renders them highly resistant to beta-lactamases. Examples of carbapenems include meropenem and imipenem.

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Discussion questions

  1. Summarise the article in your own words. Which single claim would you verify first, and why?
  2. Which claim in this article is most likely to be revised as the sources update? How would you check its current status?
  3. If two sources disagreed about one of these facts, what would you need in order to trust one over the other?

Bibliography

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Key claims and bibliography are generated from the same tracked claims and sources as the article page.