Journalartikel

Efficacy, pharmacokinetic and pharmacodynamic profile of ceftolozane plus tazobactam in the treatment of complicated urinary tract infections


AutorenlisteWagenlehner, Florian M.; Alidjanov, Jakhongir F.

Jahr der Veröffentlichung2016

Seiten959-966

ZeitschriftExpert Opinion on Drug Metabolism & Toxicology

Bandnummer12

Heftnummer8

ISSN1742-5255

eISSN1744-7607

DOI Linkhttps://doi.org/10.1080/17425255.2016.1201065

VerlagTaylor and Francis Group


Abstract

Introduction: Urinary tract infections (UTIs) are the second most common nosocomially acquired infections, responsible for approximately 21% of healthcare-associated pyelonephritis and 10.5% of urosepsis. Worldwide trends of increasing resistance resulted in the urgent need for novel antimicrobials that would be active against bacterial resistance mechanisms as an alternative to carbapenems, which are considered last resort antibiotics.

Areas covered: The current review is based on a Medline search of published English language literature and contains summary information regarding the evaluation of pharmacologic properties, efficacy, safety and activity of ceftolozane+tazobactam against common bacterial resistance mechanisms.

Expert opinion: In vivo and vitro studies demonstrated high activity of ceftolozane+tazobactam in the combination of 2:1 against a variety of uropathogens, including ESBL-producers. Phase II and Phase III studies performed in patients with complicated UTIs showed good tolerability and safety of ceftolozane+tazobactam when prescribed intravenously 1.5 g every 8 h for 7 days and at least non-inferiority to a high dose (750 mg) of levofloxacin. The pharmacokinetics of ceftolozane+tazobactam makes it a worthy alternative to carbapenems in cases of complicated UTIs, also caused by multidrug resistant uropathogens.




Zitierstile

Harvard-ZitierstilWagenlehner, F. and Alidjanov, J. (2016) Efficacy, pharmacokinetic and pharmacodynamic profile of ceftolozane plus tazobactam in the treatment of complicated urinary tract infections, Expert Opinion on Drug Metabolism & Toxicology, 12(8), pp. 959-966. https://doi.org/10.1080/17425255.2016.1201065

APA-ZitierstilWagenlehner, F., & Alidjanov, J. (2016). Efficacy, pharmacokinetic and pharmacodynamic profile of ceftolozane plus tazobactam in the treatment of complicated urinary tract infections. Expert Opinion on Drug Metabolism & Toxicology. 12(8), 959-966. https://doi.org/10.1080/17425255.2016.1201065



Schlagwörter


antimicrobial agentsantimicrobial susceptibilityANTIPSEUDOMONAL CEPHALOSPORINBETA-LACTAMASE INHIBITORSceftolozane-tazobactamCEPHALOSPORINSCXA-201INTRAABDOMINAL INFECTIONSIN-VITRO ACTIVITYLACTAMASE INHIBITOR COMBINATIONPseudomonas aeruginosaSPECTRUM BETA-LACTAMASESUrinary tract infectionsUropathogensVIVO ACTIVITIES


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