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Antimicrobial Treatment of Severe Sepsis

Overview
Specialty Pharmacology
Date 2022 Oct 27
PMID 36290092
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Abstract

is a pathogen often encountered in a healthcare setting. It has consistently ranked among the most frequent pathogens seen in nosocomial infections, particularly bloodstream and respiratory tract infections. Aside from having intrinsic resistance to many antibiotics, it rapidly acquires resistance to novel agents. Given the high mortality of pseudomonal infections generally, and pseudomonal sepsis particularly, and with the rise of resistant strains, treatment can be very challenging for the clinician. In this paper, we will review the latest evidence for the optimal treatment of sepsis caused by susceptible as well as multidrug-resistant strains including the difficult to treat pathogens. We will also discuss the mode of drug infusion, indications for combination therapy, along with the proper dosing and duration of treatment for various conditions with a brief discussion of the use of non-antimicrobial agents.

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References
1.
Gimeno C, Canton R, Garcia A, Gobernado M . [Comparative activity of doripenem, meropenem, and imipenem in recent clinical isolates obtained during the COMPACT-Spain epidemiological surveillance study]. Rev Esp Quimioter. 2010; 23(3):144-52. View

2.
Cook R, Brown N, Redgwell T, Rihtman B, Barnes M, Clokie M . INfrastructure for a PHAge REference Database: Identification of Large-Scale Biases in the Current Collection of Cultured Phage Genomes. Phage (New Rochelle). 2022; 2(4):214-223. PMC: 9041510. DOI: 10.1089/phage.2021.0007. View

3.
Lee M, Abbey T, Biagi M, Wenzler E . Activity of aztreonam in combination with ceftazidime-avibactam against serine- and metallo-β-lactamase-producing Pseudomonas aeruginosa. Diagn Microbiol Infect Dis. 2020; 99(1):115227. DOI: 10.1016/j.diagmicrobio.2020.115227. View

4.
De Winter S, Wauters J, Meersseman W, Verhaegen J, Van Wijngaerden E, Peetermans W . Higher versus standard amikacin single dose in emergency department patients with severe sepsis and septic shock: a randomised controlled trial. Int J Antimicrob Agents. 2017; 51(4):562-570. DOI: 10.1016/j.ijantimicag.2017.11.009. View

5.
Bach M, de Vries C, Khosravi A, Sweere J, Popescu M, Chen Q . Filamentous bacteriophage delays healing of Pseudomonas-infected wounds. Cell Rep Med. 2022; 3(6):100656. PMC: 9244996. DOI: 10.1016/j.xcrm.2022.100656. View