Therapy of Infections due to Carbapenem-Resistant Gram-Negative Pathogens
Identifieur interne : 000B88 ( Main/Exploration ); précédent : 000B87; suivant : 000B89Therapy of Infections due to Carbapenem-Resistant Gram-Negative Pathogens
Auteurs : Chang-Seop Lee [États-Unis, Corée du Sud] ; Yohei Doi [États-Unis]Source :
- Infection & Chemotherapy [ 2093-2340 ] ; 2014.
Abstract
The prevalence of carbapenem-resistant gram-negative bacterial pathogens (CRGNs) has increased dramatically during the last 10 years, but the optimal treatment for CRGN infections is not well established due to the relative scarcity of robust clinical data. The polymyxins remain the most consistently active agents against CRGNs
Url:
DOI: 10.3947/ic.2014.46.3.149
PubMed: 25298904
PubMed Central: 4189141
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Therapy of Infections due to Carbapenem-Resistant Gram-Negative Pathogens</title><author><name sortKey="Lee, Chang Seop" sort="Lee, Chang Seop" uniqKey="Lee C" first="Chang-Seop" last="Lee">Chang-Seop Lee</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Internal Medicine and Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine and Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju</wicri:regionArea><wicri:noRegion>Jeonju</wicri:noRegion></affiliation></author><author><name sortKey="Doi, Yohei" sort="Doi, Yohei" uniqKey="Doi Y" first="Yohei" last="Doi">Yohei Doi</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25298904</idno><idno type="pmc">4189141</idno><idno 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wicri:curation="lc">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Internal Medicine and Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine and Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju</wicri:regionArea><wicri:noRegion>Jeonju</wicri:noRegion></affiliation></author><author><name sortKey="Doi, Yohei" sort="Doi, Yohei" uniqKey="Doi Y" first="Yohei" last="Doi">Yohei Doi</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author></analytic><series><title level="j">Infection & Chemotherapy</title><idno type="ISSN">2093-2340</idno><idno type="eISSN">2092-6448</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The prevalence of carbapenem-resistant gram-negative bacterial pathogens (CRGNs) has increased dramatically during the last 10 years, but the optimal treatment for CRGN infections is not well established due to the relative scarcity of robust clinical data. The polymyxins remain the most consistently active agents against CRGNs <italic>in vitro</italic>. Tigecycline, based on its <italic>in vitro</italic> antibacterial spectrum, could also be considered as a therapeutic option in the treatment of infections caused by certain CRGNs. Other agents, including aminoglycosides, rifampin, trimethoprim-sulfamethoxazole, fosfomycin and fluoroquinolones, could be considered as monotherapy or combination therapy against CRGNs in appropriate contexts, as combination therapy with two or more <italic>in vitro</italic> active drugs appears to be more effective than monotherapy based on some clinical data. Several promising new agents are in late-stage clinical development, including ceftolozane-tazobactam, ceftazidime-avibactam and plazomicin. Given the shortage of adequate treatment options, containment of CRGNs should be pursued through implementation of adequate infection prevention procedures and antimicrobial stewardship to reduce the disease burden and prevent future outbreaks of CRGNs.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Akova, M" uniqKey="Akova M">M Akova</name></author><author><name sortKey="Daikos, Gl" uniqKey="Daikos G">GL Daikos</name></author><author><name sortKey="Tzouvelekis, L" uniqKey="Tzouvelekis L">L Tzouvelekis</name></author><author><name sortKey="Carmeli, Y" uniqKey="Carmeli Y">Y Carmeli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Queenan, Am" uniqKey="Queenan A">AM Queenan</name></author><author><name sortKey="Bush, K" uniqKey="Bush K">K Bush</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schwaber, Mj" uniqKey="Schwaber M">MJ 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uniqKey="Song J">JH Song</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lakatos, B" uniqKey="Lakatos B">B Lakatos</name></author><author><name sortKey="Jakopp, B" uniqKey="Jakopp B">B Jakopp</name></author><author><name sortKey="Widmer, A" uniqKey="Widmer A">A Widmer</name></author><author><name sortKey="Frei, R" uniqKey="Frei R">R Frei</name></author><author><name sortKey="Pargger, H" uniqKey="Pargger H">H Pargger</name></author><author><name sortKey="Elzi, L" uniqKey="Elzi L">L Elzi</name></author><author><name sortKey="Battegay, M" uniqKey="Battegay M">M Battegay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tekce, Yt" uniqKey="Tekce Y">YT Tekçe</name></author><author><name sortKey="Erbay, A" uniqKey="Erbay A">A Erbay</name></author><author><name sortKey="Cabadak, H" uniqKey="Cabadak H">H Cabadak</name></author><author><name sortKey="Sen, S" uniqKey="Sen S">S Sen</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Lee, Chang Seop" sort="Lee, Chang Seop" uniqKey="Lee C" first="Chang-Seop" last="Lee">Chang-Seop Lee</name></region><name sortKey="Doi, Yohei" sort="Doi, Yohei" uniqKey="Doi Y" first="Yohei" last="Doi">Yohei Doi</name></country><country name="Corée du Sud"><noRegion><name sortKey="Lee, Chang Seop" sort="Lee, Chang Seop" uniqKey="Lee C" first="Chang-Seop" last="Lee">Chang-Seop Lee</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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