Ceftolozane–tazobactam for the treatment of osteomyelitis caused by multidrug-resistant pathogens: a case series

Ceftolozane–tazobactam (CT) is a recently approved novel cephalosporin and β-lactamase inhibitor combination agent with in vitro activity against various Gram-positive and Gram-negative pathogens, including several multidrug-resistant (MDR) Gram-negative organisms. CT is currently approved by the US...

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Auteurs principaux: Xing Tan, Ryan P. Moenster
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Langue:EN
Publié: SAGE Publishing 2019
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spelling oai:doaj.org-article:982b73dfcb534ff0a6e19da8767df0822021-12-02T04:33:19ZCeftolozane–tazobactam for the treatment of osteomyelitis caused by multidrug-resistant pathogens: a case series2042-099410.1177/2042098619862083https://doaj.org/article/982b73dfcb534ff0a6e19da8767df0822019-07-01T00:00:00Zhttps://doi.org/10.1177/2042098619862083https://doaj.org/toc/2042-0994Ceftolozane–tazobactam (CT) is a recently approved novel cephalosporin and β-lactamase inhibitor combination agent with in vitro activity against various Gram-positive and Gram-negative pathogens, including several multidrug-resistant (MDR) Gram-negative organisms. CT is currently approved by the US Food and Drug Administration for the treatment of complicated intrabdominal infection and complicated urinary tract infection at a dose of 1.5 g intravenously every 8 h. This agent is an attractive option for MDR osteomyelitis (OM) treatment, but clinical data is limited to case reports and series. Here we report a series of five patients with MDR OM who were treated with CT. Pathogens involved in these infections were MDR Acinetobacter baumannii (two isolates) and MDR Pseudomonas aeruginosa (four isolates). Two patients were disease free 6 months after therapy was discontinued, one required an additional curative surgical procedure, and two (both on high-dose therapy) developed adverse reactions likely related to CT that necessitated early antibiotic discontinuation.Xing TanRyan P. MoensterSAGE PublishingarticleTherapeutics. PharmacologyRM1-950ENTherapeutic Advances in Drug Safety, Vol 10 (2019)
institution DOAJ
collection DOAJ
language EN
topic Therapeutics. Pharmacology
RM1-950
spellingShingle Therapeutics. Pharmacology
RM1-950
Xing Tan
Ryan P. Moenster
Ceftolozane–tazobactam for the treatment of osteomyelitis caused by multidrug-resistant pathogens: a case series
description Ceftolozane–tazobactam (CT) is a recently approved novel cephalosporin and β-lactamase inhibitor combination agent with in vitro activity against various Gram-positive and Gram-negative pathogens, including several multidrug-resistant (MDR) Gram-negative organisms. CT is currently approved by the US Food and Drug Administration for the treatment of complicated intrabdominal infection and complicated urinary tract infection at a dose of 1.5 g intravenously every 8 h. This agent is an attractive option for MDR osteomyelitis (OM) treatment, but clinical data is limited to case reports and series. Here we report a series of five patients with MDR OM who were treated with CT. Pathogens involved in these infections were MDR Acinetobacter baumannii (two isolates) and MDR Pseudomonas aeruginosa (four isolates). Two patients were disease free 6 months after therapy was discontinued, one required an additional curative surgical procedure, and two (both on high-dose therapy) developed adverse reactions likely related to CT that necessitated early antibiotic discontinuation.
format article
author Xing Tan
Ryan P. Moenster
author_facet Xing Tan
Ryan P. Moenster
author_sort Xing Tan
title Ceftolozane–tazobactam for the treatment of osteomyelitis caused by multidrug-resistant pathogens: a case series
title_short Ceftolozane–tazobactam for the treatment of osteomyelitis caused by multidrug-resistant pathogens: a case series
title_full Ceftolozane–tazobactam for the treatment of osteomyelitis caused by multidrug-resistant pathogens: a case series
title_fullStr Ceftolozane–tazobactam for the treatment of osteomyelitis caused by multidrug-resistant pathogens: a case series
title_full_unstemmed Ceftolozane–tazobactam for the treatment of osteomyelitis caused by multidrug-resistant pathogens: a case series
title_sort ceftolozane–tazobactam for the treatment of osteomyelitis caused by multidrug-resistant pathogens: a case series
publisher SAGE Publishing
publishDate 2019
url https://doaj.org/article/982b73dfcb534ff0a6e19da8767df082
work_keys_str_mv AT xingtan ceftolozanetazobactamforthetreatmentofosteomyelitiscausedbymultidrugresistantpathogensacaseseries
AT ryanpmoenster ceftolozanetazobactamforthetreatmentofosteomyelitiscausedbymultidrugresistantpathogensacaseseries
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