Factors affecting the effectiveness and safety of polymyxin B in the treatment of Gram-negative bacterial infections: A meta-analysis of 96 articles.
Yi-Chang ZhaoChen-Yu WangJia-Yi LiuJia-Kai LiHuai-Yuan LiuZhi-Hua SunBi-Kui ZhangMiao YanPublished in: International journal of antimicrobial agents (2024)
The dosage of polymyxin B does not significantly change death rates, but its effectiveness varies based on the bacterial infection. Certain bacteria like P. aeruginosa are associated with higher mortality. Combining polymyxin B with other antibiotics, especially β-lactam drugs, improves survival rates. Side effects depend on the dose, with lower doses being safer. These findings emphasize the importance of customizing treatment to balance effectiveness and safety.