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These patients may suffer severe consequences from these infections if they do not receive immediate effective therapies, and thus are uniquely threatened by antimicrobial\u2010resistant bacteria. Here, we outline how the emergence of specific resistant bacteria threatens the effectiveness of established approaches to prevent and treat infections in this population. The emergence of fluoroquinolone resistance among Enterobacterales and viridans group streptococci may decrease the effectiveness of fluoroquinolone prophylaxis during neutropenia. The emergence of Enterobacterales that produce extended\u2010spectrum \u03b2\u2010lactamases or carbapenemases and of increasingly resistant <jats:italic>Pseudomonas aeruginosa<\/jats:italic> may result in neutropenic patients experiencing delayed time to active antibacterial therapy, and consequently worse clinical outcomes. The ability to select targeted antibacterial therapies after the availability of susceptibility data may be limited in patients infected with metallo\u2010\u03b2\u2010lactamase\u2010producing Enterobacterales and difficult\u2010to\u2010treat <jats:italic>P. aeruginosa<\/jats:italic>. Vancomycin\u2010resistant enterococci and <jats:italic>Stenotrophomonas maltophilia<\/jats:italic> can cause breakthrough infections in patients already being treated with broad\u2010spectrum \u03b2\u2010lactam antibiotics. Resistance can also limit the ability to provide oral stepdown antibacterial therapy for patients who could otherwise be discharged from hospitalization. We also outline strategies that have the potential to mitigate the negative impact of antimicrobial resistance, including interventions based on active screening for colonization with resistant bacteria and the use of novel rapid diagnostic assays. Additional research is needed to better understand how these strategies can be leveraged to combat the emerging crisis of antimicrobial resistance in patients with hematologic malignancies and HCT recipients.<\/jats:p>","DOI":"10.1111\/tid.14169","type":"journal-article","created":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T04:43:18Z","timestamp":1697863398000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Global impact of antibacterial resistance in patients with hematologic malignancies and hematopoietic cell transplant recipients"],"prefix":"10.1111","volume":"25","author":[{"given":"Lee S.","family":"Gottesdiener","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases Weill Cornell Medicine  New York New York USA"},{"name":"NewYork\u2010Presbyterian Hospital, Weill Cornell Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4711-5334","authenticated-orcid":false,"given":"Michael J.","family":"Satlin","sequence":"additional","affiliation":[{"name":"NewYork\u2010Presbyterian Hospital, Weill Cornell Medical Center  New York New York USA"},{"name":"Transplantation\u2010Oncology Infectious Diseases Program, Division of Infectious Diseases Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,20]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(21)02724\u20100"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20102667(22)00225\u20100"},{"key":"e_1_2_13_4_1","unstructured":"Centers for Disease Control and Prevention.2019 Antibiotic resistance threats in the United States.CDC; last reviewed2021. 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