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Updated: Jun 21, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
New antimicrobial agents for use in the intensive care unit
David J Ritchie1, Bryan T Alexander, Patrick M Finnegan
1Barnes-Jewish Hospital, Mailstop 90-52-411, 216 S. Kingshighway Boulevard, St. Louis, MO 63110, USA. dritchie@stlcop.edu
Antimicrobial resistance in intensive care units (ICUs) complicates treatment. New antibacterial and antifungal agents in development offer hope for combating challenging ESKAPE pathogens responsible for hospital-acquired infections.
Area of Science:
- Infectious Diseases
- Critical Care Medicine
- Pharmacology
Background:
- Antimicrobial resistance is a growing threat in intensive care units (ICUs), complicating the treatment of bacterial and fungal infections.
- Multidrug regimens are often necessary to cover common ICU pathogens, but resistance limits treatment options.
- The Infectious Diseases Society of America (IDSA) highlights the impact of antimicrobial-resistant pathogens on patient care.
Purpose of the Study:
- To review emerging antibacterial and antifungal agents for treating infections in the ICU setting.
- To address the challenge of antimicrobial resistance posed by ESKAPE pathogens.
Main Methods:
- Review of select antibacterial agents in late-stage clinical development.
- Review of an antifungal agent in late-stage clinical development.
- Focus on agents with potential for treating infections caused by common ICU pathogens.
Main Results:
- Identification of promising antimicrobial agents in late-stage development.
- Highlighting agents with potential to overcome resistance mechanisms of ESKAPE pathogens.
- Discussion of agents suitable for the ICU environment.
Conclusions:
- New antimicrobial agents are crucial for managing infections in ICUs.
- Emerging therapies show potential in combating resistant pathogens like ESKAPE organisms.
- Continued development of novel antimicrobials is essential to address the evolving landscape of infectious diseases.
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