期刊
CURRENT OPINION IN INFECTIOUS DISEASES
卷 35, 期 6, 页码 545-551出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/QCO.0000000000000880
关键词
Acinetobacter baumannii; carbapenem resistant; cefiderocol; colistin; CREDIBLE- carbapenem-resistant; multidrug resistant Gram-negative bacteria; nonfermenting Gram-negative pathogens; nosocomial pneumonia
Cefiderocol is a promising and safe option for treating carbapenem-resistant A. baumannii infections. However, conflicting mortality data from available experience indicate the need for well-designed future randomized controlled trials and real-life studies.
Purpose of reviewNosocomial infections caused by Acinetobacter baumannii currently represent a serious challenge for clinicians because treatment options are limited and frequently associated with significant toxicity. Cefiderocol is a first-in-class siderophore cephalosporin that has a proven efficacy for the treatment of multidrug-resistant Gram-negative infections, including carbapenem-resistant A. baumannii. The aim of this review is to evaluate the current evidence for the role of cefiderocol in the management of A. baumannii infections.Recent findingsIn this review, we briefly summarize the available data on the efficacy (from randomized controlled trials) and on effectiveness and cure rates (from observational studies), pertaining to the use of cefiderocol for treatment of serious A. baumannii infections.Cefiderocol represents a promising and safe antibiotic option for treating patients with carbapenem-resistant A. baumannii infections. Due to conflicting mortality data from available experience, well-designed future randomized controlled trials and real-life studies are needed.
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