| Autor: |
Emilio Maseda, Alejandro Suárez de la Rica |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia. 35 |
| ISSN: |
1988-9518 |
| Popis: |
Extended-spectrum β-lactamases (ESBL)-producing organisms currently represent a major health problem. Although recently published guidelines still consider carbapenems as the treatment of choice for ESBL-producing infections, it is necessary to find non-carbapenem β-lactams as alternatives to reduce the effects associated with their overutilization. In this review we focus on these alternatives to carbepenem use. It is possible that piperacillin-tazobactam may be an alternative in clinical settings with “low inoculum” infections like urinary tract infections. Newer β-lactam-β-lactamase inhibitors (BLBLIs) are potential options too. The current available data support the efficacy of both ceftazidime-avibactam and ceftolozane-tazobactam against susceptible ESBL-producing Enterobacterales (ESBL-E). We are waiting for the results of MERINO-3 study to confirm whether ceftolozane-tazobactam is a good option versus meropenem for treating bloodstream infections caused by ESBL- or AmpC-producing Enterobacterales. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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