Pharmacotherapies for multidrug-resistant gram-positive infections: current options and beyond.
Sebastiano LeoneIlaria PezoneMariantonietta PisaturoEleni McCafferyAniello AlfieriMarco FiorePublished in: Expert opinion on pharmacotherapy (2024)
Despite their introduction more than 70 years ago, glycopeptides are still the cornerstone in treating Gram-positive infections: all registrative studies of new antibiotics have glycopeptides as control; these studies are designed as not inferior studies, therefore it is almost impossible to give recommendations other than the use of glycopeptides in the treatment of Gram-positive infections. The best evidence on treatments different from glycopeptides comes from post-hoc analysis and meta-analysis. Non-traditional antibacterial agents are being studied to aid in short and effective antibiotic therapies. The use of non-traditional antibacterial agents is not restricted to replacing traditional antibacterial agents with alternative therapies; instead, they should be used in combination with antibiotic therapies.