Comparable Efficacy and Better Safety of Double β-Lactam Combination Therapy versus β‑Lactam plus Aminoglycoside in Gram-Negative Bacteria in Randomized, Controlled Trials

Author:

Jiao Yuanyuan1,Moya Bartolome1ORCID,Chen Mong-Jen1,Zavascki Alexandre P.2,Tsai Hsinyin1,Tao Xun1,Sutaria Dhruvitkumar S.1,Louie Arnold3,Boyce John D.4ORCID,Deveson Lucas Deanna4,Kim Tae Hwan15,Tsuji Brian T.6,Bonomo Robert A.789,Drusano George L.3,Bulitta Jürgen B.1ORCID

Affiliation:

1. Departments of Pharmaceutics and Pharmacotherapy & Translational Research, College of Pharmacy, University of Florida, Orlando, Florida, USA

2. Department of Internal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

3. Institute for Therapeutic Innovation, College of Medicine, University of Florida, Orlando, Florida, USA

4. Infection and Immunity Program, Monash Biomedicine Discovery Institute and Department of Microbiology, Monash University, Victoria, Australia

5. College of Pharmacy, Daegu Catholic University, Gyeongsan, Gyeongbuk, Republic of Korea

6. Department of Pharmacy Practice, University at Buffalo, Buffalo, New York, USA

7. Medical Service and GRECC, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA

8. Departments of Medicine, Pharmacology, Molecular Biology and Microbiology, Biochemistry, Proteomics and Bioinformatics, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

9. CWRU-Cleveland VAMC Center for Antimicrobial Resistance and Epidemiology (Case VA CARES), Cleveland, Ohio, USA

Abstract

There is a great need for efficacious therapies against Gram-negative bacteria. Double β-lactam combination(s) (DBL) are relatively safe, and preclinical data are promising; however, their clinical role has not been well defined.

Funder

HHS | NIH | National Institute of Allergy and Infectious Diseases

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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