Can Drug Repurposing be Effective Against Carbapenem-Resistant Acinetobacter baumannii?

被引:10
作者
Lacerda Gontijo, Aline Vidal [1 ]
Pereira, Sharlene Lopes [1 ]
Bonfante, Herval de Lacerda [1 ,2 ,3 ]
机构
[1] Fed Univ Juiz de Fora UFJF, Inst Biol Sci, Dept Pharmacol, Rua Jose Lourenco Kelmer S-N, BR-36036900 Juiz De Fora, MG, Brazil
[2] Hosp Santa Casa Misericordia Juiz de Fora SCMJF, Div Rheumatol, Juiz De Fora, MG, Brazil
[3] Hlth Juiz de Fora SUPREMA, Sch Med Sci, Dept Internal Med, Juiz De Fora, MG, Brazil
关键词
IN-VITRO ACTIVITY; FUSIDIC ACID; COLORECTAL-CANCER; MITOMYCIN-C; CLINICAL PHARMACOKINETICS; MITOTANE; 5-FLUOROURACIL; FLUOROURACIL; SPECTRUM; COLISTIN;
D O I
10.1007/s00284-021-02693-5
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Carbapenem-resistant Acinetobacter baumannii has been classified as a top priority for the development of new therapies due to its resistance to most antibiotics. Drug repurposing may be a fast and inexpensive strategy for treating this pathogen. This review aims to critically evaluate repurposed drugs for the treatment of infections caused by carbapenem-resistant A. baumannii, correlating their antimicrobial activity with data available for toxicity and side effects. Some drugs have been suggested as promising candidates for repurposing; however, in some cases, high toxicity and low plasma concentrations reduce applicability in clinical practice. The most favorable applicability is offered by fusidic acid and colistin, possibly combined with a third agent, promising to be well tolerated and achieving satisfactory plasma concentrations.
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页数:12
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