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Published on: August 30, 2018
Tigecycline therapy in pediatric patients with multidrug resistant bacteremia
Aslinur Ozkaya-Parlakay1, Belgin Gulhan1, Saliha Kanik-Yuksek1
1Ankara Hematology Oncology Children's Training and Research Hospital, Pediatric Infectious Disease Department, Ankara, Turkey.
Insights
Tigecycline shows promise for treating severe pediatric infections caused by multidrug-resistant (MDR) bacteria, with high rates of microbiological eradication and clinical response. Further research is warranted for this important therapeutic option in children.
Area of Science:
- Pediatric Infectious Diseases
- Antimicrobial Resistance
- Pharmacology
Background:
- Multidrug resistance (MDR) in bacteria necessitates novel therapeutic strategies.
- Tigecycline offers a broad spectrum of activity against MDR pathogens.
- Tigecycline is not yet approved for pediatric use.
Purpose of the Study:
- To retrospectively assess the effectiveness and safety of tigecycline in pediatric patients.
- To evaluate tigecycline as a treatment option for severe infections in children.
Main Methods:
- Retrospective analysis of 36 pediatric patients treated with tigecycline.
- Tigecycline administered as combination therapy for a median of 13 days.
- Evaluation of microbiological eradication and clinical response rates.
Main Results:
- Microbiological eradication achieved in 75% of patients (27/36).
- Clinical response observed in 83% of patients (30/36).
- Relapse occurred in 17% of cases (6/36).
Conclusions:
- Tigecycline demonstrates potential as a treatment option for pediatric severe infections.
- Effective against infections caused by multidrug-resistant bacteria in children.
- Supports further investigation into tigecycline for pediatric populations.
Introduction:
Multidrug resistance among bacteria increases the need for new therapeutic options. Tigecycline is one candidate drug, due to property of a wider anti-bacterial spectrum to multi-drug resistant (MDR) pathogens. However, it has still not been approved for use in pediatric patients.
Methods:
In this study the effectiveness and safety of tigecycline in children was assessed retrospectively.
Results:
A total of 36 pediatric patients, received tigecycline therapy with a median of 13 days (2-32 days). Tigecycline was used as a combination therapy in all cases. Microbiological eradication was achieved in 27 patients (75%) and clinical response was observed in 30 patients (83%). There were six cases (17%) of relapse.
Conclusion:
Our findings suggest that tigecycline may be an option for children with severe infections due to multidrug resistant bacteria.
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