Ceftazidime/Avibactam and Meropenem/Vaborbactam for the Management of Enterobacterales Infections: A Narrative Review, Clinical Considerations, and Expert Opinion

This comprehensive review examines the unique attributes, distinctions, and clinical implications of ceftazidime–avibactam (CAZ-AVI) and meropenem–vaborbactam (MEM-VAB) against difficult-to-treat <i>Enterobacterales</i> infections. Our manuscript explores these antibiotics’ pharmacokinet...

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Main Authors: Andrea Marino, Edoardo Campanella, Stefano Stracquadanio, Maddalena Calvo, Giuseppe Migliorisi, Alice Nicolosi, Federica Cosentino, Stefano Marletta, Serena Spampinato, Pamela Prestifilippo, Stefania Stefani, Bruno Cacopardo, Giuseppe Nunnari
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/12/10/1521
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author Andrea Marino
Edoardo Campanella
Stefano Stracquadanio
Maddalena Calvo
Giuseppe Migliorisi
Alice Nicolosi
Federica Cosentino
Stefano Marletta
Serena Spampinato
Pamela Prestifilippo
Stefania Stefani
Bruno Cacopardo
Giuseppe Nunnari
author_facet Andrea Marino
Edoardo Campanella
Stefano Stracquadanio
Maddalena Calvo
Giuseppe Migliorisi
Alice Nicolosi
Federica Cosentino
Stefano Marletta
Serena Spampinato
Pamela Prestifilippo
Stefania Stefani
Bruno Cacopardo
Giuseppe Nunnari
author_sort Andrea Marino
collection DOAJ
description This comprehensive review examines the unique attributes, distinctions, and clinical implications of ceftazidime–avibactam (CAZ-AVI) and meropenem–vaborbactam (MEM-VAB) against difficult-to-treat <i>Enterobacterales</i> infections. Our manuscript explores these antibiotics’ pharmacokinetic and pharmacodynamic properties, antimicrobial activities, in vitro susceptibility testing, and clinical data. Moreover, it includes a meticulous examination of comparative clinical and microbiological studies, assessed and presented to provide clarity in making informed treatment choices for clinicians. Finally, we propose an expert opinion from a microbiological and a clinical point of view about their use in appropriate clinical settings. This is the first review aiming to provide healthcare professionals with valuable insights for making informed treatment decisions when combating carbapenem-resistant pathogens.
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spelling doaj.art-b80f4840982742e9b5dd28d5f1469a9e2023-11-19T15:26:40ZengMDPI AGAntibiotics2079-63822023-10-011210152110.3390/antibiotics12101521Ceftazidime/Avibactam and Meropenem/Vaborbactam for the Management of Enterobacterales Infections: A Narrative Review, Clinical Considerations, and Expert OpinionAndrea Marino0Edoardo Campanella1Stefano Stracquadanio2Maddalena Calvo3Giuseppe Migliorisi4Alice Nicolosi5Federica Cosentino6Stefano Marletta7Serena Spampinato8Pamela Prestifilippo9Stefania Stefani10Bruno Cacopardo11Giuseppe Nunnari12Department of Clinical and Experimental Medicine, University of Catania, 95123 Catania, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Messina, 98124 Messina, ItalyDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, ItalyU.O.C. Laboratory Analysis Unit, A.O.U. “Policlinico-Vittorio Emanuele”, Via S. Sofia 78, 95123 Catania, ItalyU.O.C. Laboratory Analysis Unit, A.O.U. “Policlinico-Vittorio Emanuele”, Via S. Sofia 78, 95123 Catania, ItalyDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, ItalyUnit of Infectious Diseases, ARNAS Garibaldi Hospital, University of Catania, 95122 Catania, ItalyDepartment of Diagnostic and Public Health, Section of Pathology, University of Verona, 37124 Verona, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Messina, 98124 Messina, ItalyIntensive Care Unit, ARNAS Garibaldi Hospital, 95122 Catania, ItalyDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, ItalyDepartment of Clinical and Experimental Medicine, University of Catania, 95123 Catania, ItalyDepartment of Clinical and Experimental Medicine, University of Catania, 95123 Catania, ItalyThis comprehensive review examines the unique attributes, distinctions, and clinical implications of ceftazidime–avibactam (CAZ-AVI) and meropenem–vaborbactam (MEM-VAB) against difficult-to-treat <i>Enterobacterales</i> infections. Our manuscript explores these antibiotics’ pharmacokinetic and pharmacodynamic properties, antimicrobial activities, in vitro susceptibility testing, and clinical data. Moreover, it includes a meticulous examination of comparative clinical and microbiological studies, assessed and presented to provide clarity in making informed treatment choices for clinicians. Finally, we propose an expert opinion from a microbiological and a clinical point of view about their use in appropriate clinical settings. This is the first review aiming to provide healthcare professionals with valuable insights for making informed treatment decisions when combating carbapenem-resistant pathogens.https://www.mdpi.com/2079-6382/12/10/1521ceftazidime–avibactammeropenem–vaborbactamcarbapenem-resistant <i>Enterobacterales</i>carbapenemasesGram-negative infectionsnew BL/BLICs
spellingShingle Andrea Marino
Edoardo Campanella
Stefano Stracquadanio
Maddalena Calvo
Giuseppe Migliorisi
Alice Nicolosi
Federica Cosentino
Stefano Marletta
Serena Spampinato
Pamela Prestifilippo
Stefania Stefani
Bruno Cacopardo
Giuseppe Nunnari
Ceftazidime/Avibactam and Meropenem/Vaborbactam for the Management of Enterobacterales Infections: A Narrative Review, Clinical Considerations, and Expert Opinion
Antibiotics
ceftazidime–avibactam
meropenem–vaborbactam
carbapenem-resistant <i>Enterobacterales</i>
carbapenemases
Gram-negative infections
new BL/BLICs
title Ceftazidime/Avibactam and Meropenem/Vaborbactam for the Management of Enterobacterales Infections: A Narrative Review, Clinical Considerations, and Expert Opinion
title_full Ceftazidime/Avibactam and Meropenem/Vaborbactam for the Management of Enterobacterales Infections: A Narrative Review, Clinical Considerations, and Expert Opinion
title_fullStr Ceftazidime/Avibactam and Meropenem/Vaborbactam for the Management of Enterobacterales Infections: A Narrative Review, Clinical Considerations, and Expert Opinion
title_full_unstemmed Ceftazidime/Avibactam and Meropenem/Vaborbactam for the Management of Enterobacterales Infections: A Narrative Review, Clinical Considerations, and Expert Opinion
title_short Ceftazidime/Avibactam and Meropenem/Vaborbactam for the Management of Enterobacterales Infections: A Narrative Review, Clinical Considerations, and Expert Opinion
title_sort ceftazidime avibactam and meropenem vaborbactam for the management of enterobacterales infections a narrative review clinical considerations and expert opinion
topic ceftazidime–avibactam
meropenem–vaborbactam
carbapenem-resistant <i>Enterobacterales</i>
carbapenemases
Gram-negative infections
new BL/BLICs
url https://www.mdpi.com/2079-6382/12/10/1521
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