Multidrug-resistant Gram-negative bacteria: Difference between revisions
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+ | == Background == |
| + | * Defined by the European CDC<ref>Magiorakos AP, Srinivasan A, Carey RB, Carmeli Y, Falagas ME, Giske CG, Harbarth S, Hindler JF, Kahlmeter G, Olsson-Liljequist B, Paterson DL, Rice LB, Stelling J, Struelens MJ, Vatopoulos A, Weber JT, Monnet DL. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. ''Clin Microbiol Infect''. 2012 Mar;18(3):268-81. doi: 10.1111/j.1469-0691.2011.03570.x. Epub 2011 Jul 27. PMID: 21793988.</ref> as non-susceptibility to at least one agent in three or more categories of antimicrobials, with the categories varying by organism |
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| + | * Refer to to [[Multidrug-resistant organism|multidrug-resistant organisms]] for specific |
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| + | ==Management== |
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| − | * |
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| + | **May be better for multidrug-resistance [[Pseudomonas]] (or at least more experience with it) |
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*[[Ceftazidime-avibactam]]: available through Special Access Program |
*[[Ceftazidime-avibactam]]: available through Special Access Program |
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| + | **Adds coverage of some carbapenemases and AmpC |
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*[[Fosfomycin]] |
*[[Fosfomycin]] |
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| − | ** |
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*[[Colistin]] |
*[[Colistin]] |
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| − | ** |
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*[[Cefiderocol]]: available through Special Access Program as well as preapproval by manufacturer |
*[[Cefiderocol]]: available through Special Access Program as well as preapproval by manufacturer |
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*[[Meropenem-vaborbactam]]: still awaiting Health Canada Drug Review |
*[[Meropenem-vaborbactam]]: still awaiting Health Canada Drug Review |
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Latest revision as of 17:18, 2 October 2022
Background
- Defined by the European CDC[1] as non-susceptibility to at least one agent in three or more categories of antimicrobials, with the categories varying by organism
- Refer to to multidrug-resistant organisms for specific
Management
- Ceftolozane-tazobactam (Zerbaxa)
- May be better for multidrug-resistance Pseudomonas (or at least more experience with it)
- Ceftazidime-avibactam: available through Special Access Program
- Adds coverage of some carbapenemases and AmpC
- Fosfomycin
- Colistin
- Cefiderocol: available through Special Access Program as well as preapproval by manufacturer
- Meropenem-vaborbactam: still awaiting Health Canada Drug Review
- Imipenem-relebactam (really imipenem-cilastatin-relebactam): still awaiting Health Canada Drug Review
- ↑ Magiorakos AP, Srinivasan A, Carey RB, Carmeli Y, Falagas ME, Giske CG, Harbarth S, Hindler JF, Kahlmeter G, Olsson-Liljequist B, Paterson DL, Rice LB, Stelling J, Struelens MJ, Vatopoulos A, Weber JT, Monnet DL. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin Microbiol Infect. 2012 Mar;18(3):268-81. doi: 10.1111/j.1469-0691.2011.03570.x. Epub 2011 Jul 27. PMID: 21793988.
