Ceftobiprole for the treatment of infective endocarditis: A case series

Autor: Mariano Bernardo, Vittorio Attanasio, Giulia Palmiero, Chiara Oltolini, Daniela Francisci, Paolo Scarpellini, Antonio Carozza, Carlo Tascini, Marco Ripa, Carlo Pallotto
Přispěvatelé: Tascini, C., Attanasio, V., Ripa, M., Carozza, A., Pallotto, C., Bernardo, M., Francisci, D., Oltolini, C., Palmiero, G., Scarpellini, P.
Rok vydání: 2019
Předmět:
Zdroj: Journal of Global Antimicrobial Resistance, Vol 20, Iss, Pp 56-59 (2020)
ISSN: 2213-7173
Popis: Objectives Ceftobiprole is a relatively new cephalosporin with broad-spectrum activity and good tolerability. Despite its promising characteristics, to our knowledge, only two case reports, previously published also by some of us, is available concerning its administration for the treatment of infective endocarditis. Hereby we report our experience in this field. Methods All the patients with infective endocarditis treated with ceftobiprole were enrolled. Results 12 cases of endocarditis were treated with ceftobiprole, 11/12 in combination with daptomycin and 1/12 as monotherapy. Gram-positive bacteria were isolated in 12/12 patients; 3 cases were polymicrobial. Cure rate was 83% (10/12 patients). In 9/12 (75%) cases, patients were switched to ceftobiprole following failure of previous antimicrobial regimen. In 3/3 patients in which ceftobiprole was administered because of persistently positive blood culture, bacteraemia clearance was rapidly achieved. Conclusions Ceftobiprole, especially in combination, could be a promising alternative treatment for infective endocarditis.
Databáze: OpenAIRE