Off-Label Use of Ceftazidime-Avibactam in a Premature Infant With Multidrug-Resistant Klebsiella pneumoniae Infection: A Case Report.
| Autor: | Nascimento, Allan da S., Passaro, Marcos F., Silva, Priscilla S. de S., Rodriguez, Sérgio F., Martins, Marilene K., Oliveira, Stefane Cristina P., Moriel, Patricia, Visacri, Marília B. |
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| Předmět: |
ANTIBIOTICS
CEFTAZIDIME DRUG efficacy NEONATAL intensive care KIDNEY function tests HEMOGLOBINS UREA CIPROFLOXACIN LEUCOCYTES NEONATAL intensive care units CARBAPENEM-resistant bacteria OXYGEN saturation KLEBSIELLA infections LYMPHOCYTES BETA lactamases MULTIDRUG resistance PLATELET count ELECTROLYTES URINALYSIS OFF-label use (Drugs) MICROBIAL sensitivity tests CREATININE CHEMICAL inhibitors DRUG administration DRUG dosage THERAPEUTICS |
| Zdroj: | Journal of Pharmacy Practice; Aug2023, Vol. 36 Issue 4, p1020-1025, 6p |
| Abstrakt: | Purpose: The emergence of multidrug-resistant (MDR) Gram-negative bacterial infections in the neonatal intensive care unit (NICU) is a major public health threat. Ceftazidime-avibactam (CAZ-AVI) provides a new option for treating infections caused by most beta-lactamase- and carbapenemase-producing Gram-negative bacteria in infants older than three months. However, treatment options are extremely limited, with no safety data available for preterm neonates. Here, we describe our experience regarding the safety and efficacy of off-label use of CAZ-AVI in a NICU in Brazil. Summary: We report a case of a premature infant (born at 29 weeks gestational age) treated with CAZ-AVI due to a bloodstream infection caused by MDR Klebsiella pneumoniae. Conclusion: Treatment with CAZ-AVI was safe and effective in our patient. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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