An Overview of the Treatment of Less Common Non-Lactose-Fermenting Gram-Negative Bacteria.

Abstract:

:Stenotrophomonas maltophilia, Burkholderia cepacia complex, Elizabethkingia spp., Chryseobacterium spp., Achromobacter spp., and Alcaligenes spp. are less-common non-lactose-fermenting bacteria that have emerged as important opportunistic pathogens. Patients at the highest risk for these infections include the immunocompromised, those with cystic fibrosis, and the critically ill. These opportunistic pathogens are frequently drug resistant through the expression of β-lactamases, multidrug efflux pumps, aminoglycoside-modifying enzymes, and target site alterations discussed in detail throughout this review. As a result, treatment is extremely challenging. For each pathogen, this review will examine the epidemiology, mechanisms of resistance, and in vitro and in vivo data including that for novel β-lactam/β-lactamase inhibitors and cefiderocol. Treatment recommendations are provided based on the available literature.

journal_name

Pharmacotherapy

journal_title

Pharmacotherapy

authors

Spencer HK,Spitznogle SL,Borjan J,Aitken SL

doi

10.1002/phar.2447

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

936-951

issue

9

eissn

0277-0008

issn

1875-9114

journal_volume

40

pub_type

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