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Tetracyclines for treating multidrug-resistant Acinetobacter baumannii ventilator-associated pneumonia
G Christopher Wood1, Scott D Hanes, Bradley A Boucher
1Department of Clinical Pharmacy, The University of Tennessee College of Pharmacy, 26 South Dunlap, Memphis, Tennessee 38163, USA. cwood@utmem.edu
Objective:
To report the use of tetracyclines for the treatment of multidrug-resistant Acinetobacter baumannii ventilator-associated pneumonia (VAP).
Design:
Observational case series.
Setting:
. The Presley Regional Trauma Center located within the Regional Medical Center, Memphis, Tennessee, USA.
Patients And Participants:
Seven critically ill trauma patients with VAP caused by A. baumannii isolates that were resistant to all antibiotics tested except for doxycycline or minocycline.
Interventions:
Patients were treated with IV doxycycline or minocycline for an average of 13.5 (range 9-20) days.
Measurements And Results:
Doxycycline or minocycline was successful in six of seven patients.
Conclusions:
Doxycycline or minocycline may be effective for treating multidrug-resistant A. baumannii VAP.