Amikacin Combined with Fosfomycin for Treatment of Neonatal Sepsis in the Setting of Highly Prevalent Antimicrobial Resistance

Author:

Darlow Christopher A.1ORCID,Docobo-Perez Fernando2,Farrington Nicola1,Johnson Adam1,McEntee Laura1,Unsworth Jennifer1,Jimenez-Valverde Ana1,Gastine Silke3ORCID,Kolamunnage-Dona Ruwanthi4,de Costa Renata M. A.5,Ellis Sally5,Franceschi François5,Standing Joseph F.3,Sharland Mike6,Neely Michael7,Piddock Laura58,Das Shampa1ORCID,Hope William1ORCID

Affiliation:

1. Antimicrobial Pharmacodynamics and Therapeutics, University of Liverpool, Liverpool Health Partners, Liverpool, United Kingdom

2. Departamento de Microbiología, Universidad de Sevilla, Seville, Spain

3. Great Ormond Street Institute of Child Health, University College London, London, United Kingdom

4. Department of Health Data Science, University of Liverpool, Liverpool Health Partners, Liverpool, United Kingdom

5. Global Antibiotic Research and Development Partnership, Geneva, Switzerland

6. Paediatric Infectious Diseases Research Group, St. George’s University of London, London, United Kingdom

7. Children’s Hospital Los Angeles and the Keck School of Medicine, University of Southern California, Los Angeles, California, USA

8. Antimicrobials Research Group, School of Immunity and Infection, Institute for Microbiology and Infection, University of Birmingham, Birmingham, United Kingdom

Abstract

Antimicrobial resistance (particularly through extended-spectrum β-lactamase and aminoglycoside-modifying enzyme production) in neonatal sepsis is a global problem, particularly in low- and middle-income countries, with significant mortality rates. High rates of resistance are reported for the current WHO-recommended first-line antibiotic regimen for neonatal sepsis, i.e., ampicillin and gentamicin.

Funder

Global Antibiotic Research and Development Partnership

UKRI | Medical Research Council

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference55 articles.

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4. Fuchs A, Bielicki J, Mathur S, Sharland M, Van Den Anker JN. 2016. Antibiotic use for sepsis in neonates and children: 2016 evidence update. World Health Organization, Geneva, Switzerland.

5. World Health Organization. 2013. Pocket book of hospital care for children, 2nd ed. World Health Organization, Geneva, Switzerland.

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