New antibiotics for Gram-negative pneumonia

Pneumonia is frequently encountered in clinical practice, and Gram-negative bacilli constitute a significant proportion of its aetiology, especially when it is acquired in a hospital setting. With the alarming global rise in multidrug resistance in Gram-negative bacilli, antibiotic therapy for treat...

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Main Authors: Matteo Bassetti, Federica Magnè, Daniele Roberto Giacobbe, Lorenzo Bini, Antonio Vena
Format: Article
Language:English
Published: European Respiratory Society 2022-12-01
Series:European Respiratory Review
Online Access:http://err.ersjournals.com/content/31/166/220119.full
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author Matteo Bassetti
Federica Magnè
Daniele Roberto Giacobbe
Lorenzo Bini
Antonio Vena
author_facet Matteo Bassetti
Federica Magnè
Daniele Roberto Giacobbe
Lorenzo Bini
Antonio Vena
author_sort Matteo Bassetti
collection DOAJ
description Pneumonia is frequently encountered in clinical practice, and Gram-negative bacilli constitute a significant proportion of its aetiology, especially when it is acquired in a hospital setting. With the alarming global rise in multidrug resistance in Gram-negative bacilli, antibiotic therapy for treating patients with pneumonia is challenging and must be guided by in vitro susceptibility results. In this review, we provide an overview of antibiotics newly approved for the treatment of pneumonia caused by Gram-negative bacilli. Ceftazidime-avibactam, imipenem-relebactam and meropenem-vaborbactam have potent activity against some of the carbapenem-resistant Enterobacterales, especially Klebsiella pneumoniae carbapenemase producers. Several novel antibiotics have potent activity against multidrug-resistant Pseudomonas aeruginosa, such as ceftazidime-avibactam, ceftolozane-tazobactam, imipenem-relabactam and cefiderocol. Cefiderocol may also play an important role in the management of pneumonia caused by Acinetobacter baumannii, along with plazomicin and eravacycline.
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spelling doaj.art-107e0a3a8d0a47979362cc2ae2ff94062023-01-05T07:48:23ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172022-12-013116610.1183/16000617.0119-20220119-2022New antibiotics for Gram-negative pneumoniaMatteo Bassetti0Federica Magnè1Daniele Roberto Giacobbe2Lorenzo Bini3Antonio Vena4 Division of Infectious Diseases, Department of Health Sciences (DISSAL), University of Genova, Genova, Italy Division of Infectious Diseases, Department of Health Sciences (DISSAL), University of Genova, Genova, Italy Division of Infectious Diseases, Department of Health Sciences (DISSAL), University of Genova, Genova, Italy Division of Infectious Diseases, Department of Health Sciences (DISSAL), University of Genova, Genova, Italy Division of Infectious Diseases, Department of Health Sciences (DISSAL), University of Genova, Genova, Italy Pneumonia is frequently encountered in clinical practice, and Gram-negative bacilli constitute a significant proportion of its aetiology, especially when it is acquired in a hospital setting. With the alarming global rise in multidrug resistance in Gram-negative bacilli, antibiotic therapy for treating patients with pneumonia is challenging and must be guided by in vitro susceptibility results. In this review, we provide an overview of antibiotics newly approved for the treatment of pneumonia caused by Gram-negative bacilli. Ceftazidime-avibactam, imipenem-relebactam and meropenem-vaborbactam have potent activity against some of the carbapenem-resistant Enterobacterales, especially Klebsiella pneumoniae carbapenemase producers. Several novel antibiotics have potent activity against multidrug-resistant Pseudomonas aeruginosa, such as ceftazidime-avibactam, ceftolozane-tazobactam, imipenem-relabactam and cefiderocol. Cefiderocol may also play an important role in the management of pneumonia caused by Acinetobacter baumannii, along with plazomicin and eravacycline.http://err.ersjournals.com/content/31/166/220119.full
spellingShingle Matteo Bassetti
Federica Magnè
Daniele Roberto Giacobbe
Lorenzo Bini
Antonio Vena
New antibiotics for Gram-negative pneumonia
European Respiratory Review
title New antibiotics for Gram-negative pneumonia
title_full New antibiotics for Gram-negative pneumonia
title_fullStr New antibiotics for Gram-negative pneumonia
title_full_unstemmed New antibiotics for Gram-negative pneumonia
title_short New antibiotics for Gram-negative pneumonia
title_sort new antibiotics for gram negative pneumonia
url http://err.ersjournals.com/content/31/166/220119.full
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