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Use of Ceftaroline Fosamil in Children: Review of Current Knowledge and its Application
Juwon Yim1, Leah M Molloy2, Jason G Newland3,4
1St. John Hospital and Medical Center, Detroit, MI, USA. ft0702@wayne.edu.
Insights
Ceftaroline is a new cephalosporin effective for pediatric bacterial infections, including those resistant to other antibiotics. Further research is needed on its use in very young infants and those with complex conditions.
Area of Science:
- Infectious Diseases
- Pharmacology
- Pediatrics
Background:
- Ceftaroline is a novel cephalosporin approved for pediatric bacterial infections.
- It shows efficacy against resistant Gram-positive and Gram-negative bacteria, including MRSA.
- It is indicated for acute bacterial skin and soft tissue infections and community-acquired bacterial pneumonia (CABP).
Purpose of the Study:
- To review the microbiological and pharmacokinetic profile of ceftaroline.
- To discuss the clinical evidence for its use in pediatric patients.
- To propose its place in pediatric therapy.
Main Methods:
- Literature review of microbiological data.
- Analysis of pharmacokinetic studies in pediatric populations.
- Evaluation of clinical trial data for efficacy and tolerability.
Main Results:
- Ceftaroline demonstrates excellent in vitro activity against resistant pathogens.
- Proven efficacy and favorable tolerability in pediatric patients for specific infections.
- Potential therapeutic option for challenging infections and resistant bacteria.
Conclusions:
- Ceftaroline is a valuable option for pediatric bacterial infections, especially those involving resistant organisms.
- Further investigation is required for neonates and infants <2 months.
- Pharmacokinetic data in children with chronic or invasive infections need more study.
Abstract:
Ceftaroline is a novel cephalosporin recently approved in children for treatment of acute bacterial skin and soft tissue infections and community-acquired bacterial pneumonia (CABP) caused by methicillin-resistant Staphylococcus aureus, Streptococcus pneumoniae and other susceptible bacteria. With a favorable tolerability profile and efficacy proven in pediatric patients and excellent in vitro activity against resistant Gram-positive and Gram-negative bacteria, ceftaroline may serve as a therapeutic option for polymicrobial infections, CABP caused by penicillin- and ceftriaxone-resistant S. pneumoniae and resistant Gram-positive infections that fail first-line antimicrobial agents. However, limited data are available on tolerability in neonates and infants younger than 2 months of age, and on pharmacokinetic characteristics in children with chronic medical conditions and those with invasive, complicated infections. In this review, the microbiological profile of ceftaroline, its mechanism of action, and pharmacokinetic profile will be presented. Additionally, clinical evidence for use in pediatric patients and proposed place in therapy is discussed.
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