New β-Lactam–β-Lactamase Inhibitor Combinations

Author:

Yahav Dafna12ORCID,Giske Christian G.3,Grāmatniece Alise34,Abodakpi Henrietta5,Tam Vincent H.5,Leibovici Leonard26

Affiliation:

1. Infectious Diseases Unit, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel

2. Sackler Faculty of Medicine, Tel-Aviv University, Ramat Aviv, Israel

3. Clinical Microbiology, Department of Laboratory Medicine, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden

4. Pauls Stradins University Hospital, University of Latvia, Riga, Latvia

5. Department of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, Houston, Texas, USA

6. Medicine E, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel

Abstract

The limited armamentarium against drug-resistant Gram-negative bacilli has led to the development of several novel β-lactam–β-lactamase inhibitor combinations (BLBLIs). In this review, we summarize their spectrum of in vitro activities, mechanisms of resistance, and pharmacokinetic-pharmacodynamic (PK-PD) characteristics. A summary of available clinical data is provided per drug. Four approved BLBLIs are discussed in detail. All are options for treating multidrug-resistant (MDR) Enterobacterales and Pseudomonas aeruginosa .

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Microbiology (medical),Public Health, Environmental and Occupational Health,General Immunology and Microbiology,Epidemiology

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5. FDA. 2015. Ceftazidime-avibactam. Center for Drug Evaluation and Research. Approval package for application number 206494Orig1s000. AVYCAZ injection. FDA, Silver Spring, MD.

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