Current trends in the treatment of pneumonia due to multidrug-resistant Gram-negative bacteria
- PMID: 30755795
- PMCID: PMC6354321
- DOI: 10.12688/f1000research.16517.2
Current trends in the treatment of pneumonia due to multidrug-resistant Gram-negative bacteria
Abstract
Pneumonia is one of the most common infections worldwide. Morbidity, mortality, and healthcare costs increase substantially when pneumonia is caused by multidrug-resistant Gram-negative bacteria (MDR-GNB). The ongoing spread of antimicrobial resistance has made treating MDR-GNB pneumonia increasingly difficult. Fortunately, there have been some recent additions to our antibiotic armamentarium in the US and Europe for MDR-GNB, along with several agents that are in advanced stages of development. In this article, we review the risk factors for and current management of MDR-GNB pneumonia as well as novel agents with activity against these important and challenging pathogens.
Keywords: Acinetobacter baumannii; Enterobacteriaceae; Pseudomonas aeruginosa; antibiotics.
Conflict of interest statement
Competing interests: RRW serves on an advisory board and speakers’ bureau and has received research support from Allergan. DvD serves on advisory boards for Allergan, Achaogen, Shionogi, Tetraphase, Sanofi Pasteur, MedImmune, and Astellas and has received research funding from Steris Inc. and Scynexis.
References
-
- Kalil AC, Metersky ML, Klompas M, et al. : Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clin Infect Dis. 2016;63(5):e61–e111. 10.1093/cid/ciw353 - DOI - PMC - PubMed
-
- Watkins RR, Deresinski S: Using β-lactam/β-lactamase inhibitors for infections due to extended-spectrum β-lactamase-producing Enterobacteriaceae to slow the emergence of carbapenem-resistant Enterobacteriaceae. Expert Rev Anti Infect Ther. 2017;15(10):893–5. 10.1080/14787210.2017.1380519 - DOI - PubMed
-
- Grundmann H, Glasner C, Albiger B, et al. : Occurrence of carbapenemase-producing Klebsiella pneumoniae and Escherichia coli in the European survey of carbapenemase-producing Enterobacteriaceae (EuSCAPE): a prospective, multinational study. Lancet Infect Dis. 2017;17(2):153–63. 10.1016/S1473-3099(16)30257-2 - DOI - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
