Article ; Online: Cefiderocol: A Siderophore Cephalosporin.
2020 Volume 54, Issue 12, Page(s) 1215–1231
Abstract: Objective: This article reviews the available data on the chemistry, spectrum of activity, pharmacokinetic and pharmacodynamic properties, clinical efficacy, and potential place in therapy of cefiderocol.: Data sources: A literature search through ... ...
Abstract | Objective: This article reviews the available data on the chemistry, spectrum of activity, pharmacokinetic and pharmacodynamic properties, clinical efficacy, and potential place in therapy of cefiderocol. Data sources: A literature search through PubMed, Google Scholar, and ClinicalTrials.gov was conducted (2009 to March 2020) using the search terms Study selection and data extraction: All relevant published articles, package inserts, and unpublished meeting abstracts on cefiderocol were reviewed. Data synthesis: Cefiderocol is the first siderophore antibiotic to be approved by the FDA. It was shown to be active against a wide range of resistant Gram-negative pathogens, including multidrug-resistant (MDR) Relevance to patient care and clinical practice: The approval of cefiderocol provides a new option in the treatment of cUTIs and potentially treatment of nosocomial pneumonia caused by resistant Gram-negative pathogens. Given the higher mortality observed with cefiderocol, its use in the treatment of CR Gram-negative infections should be carefully considered. Conclusion: Cefiderocol shows promising activity against MDR Gram-negative pathogens. Its use in the treatment of serious infections caused by CR Gram-negative bacteria needs further evaluation in phase III clinical studies. |
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MeSH term(s) | Adult ; Anti-Bacterial Agents/chemistry ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Cephalosporins/chemistry ; Cephalosporins/pharmacology ; Cephalosporins/therapeutic use ; Drug Resistance, Multiple, Bacterial/drug effects ; Gram-Negative Bacteria/drug effects ; Gram-Negative Bacterial Infections/drug therapy ; Gram-Negative Bacterial Infections/microbiology ; Humans ; Microbial Sensitivity Tests ; Molecular Structure ; Siderophores/chemistry ; Siderophores/pharmacology ; Siderophores/therapeutic use ; Urinary Tract Infections/drug therapy ; Urinary Tract Infections/microbiology ; Cefiderocol |
Chemical Substances | Anti-Bacterial Agents ; Cephalosporins ; Siderophores |
Language | English |
Publishing date | 2020-06-10 |
Publishing country | United States |
Document type | Journal Article ; Review |
ZDB-ID | 1101370-9 |
ISSN | 1542-6270 ; 1060-0280 |
ISSN (online) | 1542-6270 |
ISSN | 1060-0280 |
DOI | 10.1177/1060028020929988 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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