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Real-Time Optimization of Pharmacodynamic Target Attainment at Infection Site During Treatment of Post-Neurosurgical Ventriculitis Caused by Carbapenem-Resistant Gram Negatives with Ceftazidime-Avibactam-Based Regimens: A Report of Two Cases

Overview
Journal Microorganisms
Specialty Microbiology
Date 2022 Jan 21
PMID 35056602
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Abstract

We present two cases of post-neurosurgical ventriculitis caused by carbapenem-resistant Gram-negative pathogens successfully treated with high-dose ceftazidime/avibactam. The existence of a real-time clinical pharmacological advice program, by enabling the optimization of the PK/PD targets over time at the infection site, turned out to be very helpful.

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References
1.
Cook A, Hatton-Kolpek J . Augmented Renal Clearance. Pharmacotherapy. 2019; 39(3):346-354. DOI: 10.1002/phar.2231. View

2.
Tumbarello M, Raffaelli F, Giannella M, Mantengoli E, Mularoni A, Venditti M . Ceftazidime-Avibactam Use for Klebsiella pneumoniae Carbapenemase-Producing K. pneumoniae Infections: A Retrospective Observational Multicenter Study. Clin Infect Dis. 2021; 73(9):1664-1676. DOI: 10.1093/cid/ciab176. View

3.
Karvouniaris M, Brotis A, Tsiamalou P, Fountas K . The Role of Intraventricular Antibiotics in the Treatment of Nosocomial Ventriculitis/Meningitis from Gram-Negative Pathogens: A Systematic Review and Meta-Analysis. World Neurosurg. 2018; 120:e637-e650. DOI: 10.1016/j.wneu.2018.08.138. View

4.
Papp-Wallace K, Zeiser E, Becka S, Park S, Wilson B, Winkler M . Ceftazidime-Avibactam in Combination With Fosfomycin: A Novel Therapeutic Strategy Against Multidrug-Resistant Pseudomonas aeruginosa. J Infect Dis. 2019; 220(4):666-676. PMC: 6639593. DOI: 10.1093/infdis/jiz149. View

5.
Yasmin M, Hanrahan J, Marshall S, Lodise T, Chen L, Perez F . Using Therapeutic Drug Monitoring to Treat KPC-Producing Central Nervous System Infection With Ceftazidime/Avibactam. Open Forum Infect Dis. 2020; 7(9):ofaa349. PMC: 7491706. DOI: 10.1093/ofid/ofaa349. View