Qalabkan waxaa loo isticmaalaa in lagu ogaado tayada hiddo-wadaha carbapenem ee shaybaarada xaakada bini'aadamka, shaybaarka suufka malawadka ama deegaanada saafiga ah, oo ay ku jiraan KPC (Klebsiella pneumonia carbapenemase), NDM (New Delhi metallo-β-lactamase 1), OXA48 (oxacillinase 48), OXA23 (oxacillinase 23), VIM (Verona Imipenemase), iyo IMP (Imipenemase).