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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Treating serious infections: focus on cefepime
1School of Pharmacy, University of Southern California, Los Angeles, California 90089, USA.
Abstract:
Antibiotic resistance among medically important pathogens is curtailing the therapeutic value of many of the standard broad-spectrum antibiotics used for empiric treatment of serious infections. This article presents a brief overview of the etiology of serious infections and the threat of emerging resistance, and reviews the adverse impact of inadequate empiric treatment on patient outcomes and hospital ecology. The treatment of two clinically important infections with cefepime--pneumonia in hospitalized patients and febrile neutropenia--also is discussed.
Insights
Antibiotic resistance threatens effective treatment of serious infections. This review covers infection causes, resistance threats, and the impact of inadequate empiric therapy, focusing on cefepime for pneumonia and febrile neutropenia.
Area of Science:
- Infectious Diseases
- Clinical Microbiology
- Pharmacology
Background:
- Antibiotic resistance in key pathogens diminishes the effectiveness of broad-spectrum antibiotics for treating severe infections.
- Emerging resistance poses a significant global health threat, complicating empiric treatment strategies.
- Inadequate empiric therapy negatively impacts patient outcomes and hospital environments.
Purpose of the Study:
- To provide an overview of the etiology and emerging resistance patterns of serious infections.
- To review the adverse effects of insufficient empiric treatment on patients and healthcare settings.
- To discuss the use of cefepime in treating specific infections like hospital-acquired pneumonia and febrile neutropenia.
Main Methods:
- Literature review on antibiotic resistance, infection etiology, and treatment outcomes.
- Analysis of the impact of empiric antibiotic therapy on patient prognosis.
- Case discussion of cefepime efficacy in pneumonia and febrile neutropenia.
Main Results:
- Growing antibiotic resistance is a major challenge in managing serious infections.
- Suboptimal empiric treatment leads to poorer patient outcomes and contributes to resistance spread.
- Cefepime demonstrates clinical utility in treating specific serious infections.
Conclusions:
- Addressing antibiotic resistance is crucial for preserving therapeutic options.
- Optimizing empiric treatment strategies is essential for improving patient care and infection control.
- Cefepime remains a valuable agent for specific indications in the context of evolving resistance patterns.
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