THE PROFESSIONALISM IN CLINICAL PRACTICE SERIES
ebook ∣ ANTIBIOTIC EFFICACY AND SAFETY OPTIMIZATION FOR MULTI-DRUG RESISTANT INFECTIONS · PART II
By MOHDNOUR BANIYOUNES
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This eBook release, titled "PART II" is part of the "PROFESSIONALISM IN CLINICAL PRACTICE SERIES." It specifically addresses the optimisation of antibiotic efficacy and safety for infections caused by multi-drug resistant bacteria. The eBook covers a total of twenty distinct topics. Each topic is divided into two parts: keypoints and their references. Each topic typically consists of an average of 12 key points that encompass the relevant subject matter. The following topics are entitled as:
CARABAPENEM ANTIBIOTICS SHOULD BE USED AT A MINIMUM INHIBITORY CONCENTRATION OF 4 μG/ML FOR AMPC-E INFECTIONS
CEFEPIME AS THE PREFERRED TREATMENT FOR ENTEROBACTER. CLOACAE INFECTIONS AND THE UNCERTAINITY OF PIPERACILLIN/TAZOBACTAM AGAINST ESBL-E INFECTIONS
FOR BETA-LACTAM/NON-BETA-LACTAM BETA-LACTAM INHIBITORS, CARBAPENEMASE-PRODUCING ENTEROBACTERIACAE ISOLATES MUST BE ACCURATELY IDENTIFIED. CONSIDERING CEFTOLOZANE-TAZOBACTAM FOR AMPC-E INFECTIONS
NON-BETA LACTAMS COMBINATIONS ARE INITIALLY RECOMMENDED FOR CARBAPENEM RESISTANT ENTEROBACTERIACAE ASSOCIATED UNCOMPLICATED URINARY TRACT INFECTION
TIGECYCLINE AND ERAVACYCLINE ARE EFFECTIVE FOR KLEBSIELLA PRODUCING CARBAPENAMSES, WHILE CEFTAZIDIME-AVIBACTAM AND CEFIDEROCOL ARE PREFERRED ANTIBIOTICS FOR NEW DELHI AND OTHER METALLO-Β-LACTAMASE-PRODUCING INFECTIONS
TIGECYCLINE AND ERAVACYCLINE CAN TREAT CARBAPENEM-RESISTANT ENTEROBACTERIACAE INFECTIONS, BUT MONOTHERAPY MAY INCREASE MORTALITY. POLYMYXINS' CLINICAL EFFICACY AND SUSCEPTIBILITY TESTING RELIABILITY ARE CONCERNS
AVOID COMBINATION ANTIBIOTIC THERAPY FOR CARBAPENEM-RESISTANT ENTEROBACTERIACE INFECTIONS AND USE CONVENTIONAL NON-CARBAPENEM Β-LACTAM AGENTS
AMINOGLYCOSIDES CAN SUBSTITUTE NEWER BETA-LACTAM/BETA-LACTAMASES INHIBITORS FOR UNCOMPLICATED CYSTITIS CAUSED BY DIFFICULT TO TREAT PSEUDOMONAS AUROGONISA. COLISTIN IS A VIABLE OPTION AND CEFIDEROCOL IS A FEASIBLE ALTERNATIVE
A SECOND ROUND OF ANTIBIOTIC SUSCEPTIBILITY TESTING FOR RECENT Β-LACTAMS IN PATIENTS WITH UNCOMPLICATED CYSTITIS CAUSED BY DIFFICULT TO TREAT PSEUDOMONAS AUROGONISA IS STRONGLY RECOMMENDED. FOR RECURRENT INFECTIONS, IMIPENEM-CILASTATIN-RELEBACTAM OR CEFIDEROCOL MAY BE CONSIDERED
CARBAPENEM-RESISTANT ACINETOBACTER BAUMANNII IS A HEALTHCARE CHALLENGE. AND NEBULIZED ANTIBIOTICS FOR HARD-TO-TREAT RESPIRATORY INFECTIONS STILL DOUBTFUL CLINICAL EFFICACY
AMPICILLIN-SULBACTAM WITH ANOTHER DRUG REDUCED MORTALITY AND NEPHROTOXICITY BEST FOR HIGH-LOAD CARBAPENEM-RESISTANT ACINETOBACTER BAUMANNII
HIGH-DOSE AMPICILLIN-SULBACTAM IS RECOMMENDED AS THE MAIN THERAPY FOR CARBAPENEM-RESISTANT ACINETOBACTER BAUMANNII INFECTIONS. POLYMYXIN B IS RECOMMENDED OVER COLISTIN. TETRACYCLINE DERIVATIVES LIKE MINOCYCLINE AND TIGECYCLINE ARE PREFERRED FOR THEIR LONG-TERM CLINICAL USE
HIGH-DOSE MINOCYCLINE OR TIGECYCLINE WITH ANOTHER AGENT FOR CARBAPENEM-RESISTANT ACINETOBACTER BAUMANNII INFECTION MANAGEMENT IS ADVISED. AVOID CEFIDEROCOL AND OMADACYCLINE. AT THIS TIME, TRIPLE-COMBINATION THERAPIES ARE NOT ADVISED
NEBULIZED ANTIBIOTICS ARE NOT RECOMMENDED YET FOR TREATING RESPIRATORY INFECTIONS CAUSED BY CARBAPENEM-RESISTANT ACINETOBACTER BAUMANNII AND STENOTROPHOMONAS MALTOPHILIA DUE TO LACK OF EVIDENCES ON THE CLINICAL EFFICACY
HIGH DOSE TRIMETHOPRIM / SULFAMETHOXAZOLE, MINOCYCLINE/TIGECYCLINE, CEFIDEROCOL, LEVOFLOXACIN, OR A COMBINATION CAN TREAT STENOTROPHOMONAS MALTOPHILIA. COMBINATION THERAPY IMPROVES RESULTS
STENOTROPHOMONAS MALTOPHILIA ISOLATES EXHIBIT RESISTANCE TO STANDARD DOSE TRIMETHOPRIM / SULFAMETHOXAZOLE, HIGH-DOSE MINOCYCLINE IS RECOMMENDED FOR TREATMENT, BUT CEFTAZIDIME-AVIBACTAM ARE RECOMMENDED FOR SEVERE CASES
RAPID DIAGNOSTICS AND PREDICTIVE SCORING LOSE...