Updates in the Management of Cephalosporin-Resistant Gram-Negative Bacteria

被引:8
作者
Arizpe, Andre [1 ]
Reveles, Kelly R. [1 ,2 ]
Patel, Shrina D. [3 ]
Aitken, Samuel L. [3 ,4 ]
机构
[1] Univ Texas Austin, Coll Pharm, Austin, TX 78712 USA
[2] Univ Texas Hlth Sci Ctr San Antonio, Pharmacotherapy Educ & Res Ctr, San Antonio, TX 78229 USA
[3] Univ Texas MD Anderson Canc Ctr, Div Pharm, 1515 Holcombe Blvd,Unit 0090, Houston, TX 77030 USA
[4] UTHlth McGovern Sch Med, Ctr Antimicrobial Resistance & Microbial Genom, Houston, TX 77030 USA
关键词
Extended-spectrum beta-lactamase; Pseudomonas aeruginosa; Cefepime; Piperacillin-tazobactam; Carbapenem; Ceftolozane-tazobactam; Ceftazidime-avibactam; SPECTRUM-BETA-LACTAMASE; BLOOD-STREAM INFECTIONS; CEFTAZIDIME-AVIBACTAM ACTIVITY; US MEDICAL-CENTERS; IN-VITRO ACTIVITY; PSEUDOMONAS-AERUGINOSA INFECTION; URINARY-TRACT-INFECTIONS; EXTENDED-SPECTRUM; ESCHERICHIA-COLI; PIPERACILLIN-TAZOBACTAM;
D O I
10.1007/s11908-016-0552-7
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Resistance to cephalosporins is now common among Gram-negative bacterial infections, including those caused by the Enterobacteriaceae and Pseudomonas aeruginosa, posing a major threat to public health. As resistance to the traditional drugs of choice for these infections, carbapenems, has also become increasingly common, interest in cefepime and piperacillin-tazobactam as carbapenemsparing alternatives has increased. Additionally, the availability of the novel beta-lactam-beta-lactamase inhibitor combinations ceftolozane-tazobactam and ceftazidime-avibactam has added to the antimicrobial armamentarium available to treat these multidrug-resistant infections. Here, we review the recent literature on the use of carbapenem-sparing alternatives and highlight the potential utility of novel antimicrobials.
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页数:12
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