Ceftolozane and tazobactam for the treatment of hospital acquired pneumonia.
Ignacio Martin-LoechesAlessandra BisantiEmili DiazAlejandro RodríguezPublished in: Expert review of anti-infective therapy (2020)
Ceftolozane-tazobactam is a combination of a novel semi-synthetic fifth-generation cephalosporin with a well-established beta-lactamase inhibitor. From a structural perspective, ceftolozane-tazobactam has attested increased stability to AmpC β-lactamases. Additionally, ceftolozane-tazobactam is less affected by changes in efflux pumps and porin permeability due to an enhanced affinity to certain penicillin-binding proteins (PBPs). This enables the molecule to overcome the most common anti-drug resistant mechanisms of bacteria. According to previous clinical trials conducted, ceftolozane-tazobactam must be considered when treating patients with confirmed or suspected P. aeruginosa respiratory tract infections, either nosocomial pneumonia or ventilator-associated pneumonia.
Keyphrases
- gram negative
- multidrug resistant
- drug resistant
- acinetobacter baumannii
- klebsiella pneumoniae
- respiratory tract
- clinical trial
- healthcare
- pulmonary embolism
- escherichia coli
- emergency department
- cystic fibrosis
- endothelial cells
- staphylococcus aureus
- pseudomonas aeruginosa
- methicillin resistant staphylococcus aureus
- intensive care unit
- open label
- adverse drug
- replacement therapy