Clinical Usefulness of Arbekacin / 감염과화학요법
Infection and Chemotherapy
; : 1-11, 2016.
Article
em En
| WPRIM
| ID: wpr-70885
Biblioteca responsável:
WPRO
ABSTRACT
Arbekacin is a broad-spectrum aminoglycoside used to treat methicillin-resistant Staphylococcus aureus (MRSA). Arbekacin has antibacterial activities against high-level gentamicin-resistant Enterococci, multidrug-resistant Pseudomonas aeruginosa, and Acinetobacter baumannii et al. Here, we reviewed in vitro data on arbekacin in Staphylococci and Gram-negative microorganisms. We also reviewed clinical studies for clinical efficacy and microbiologic efficacy data in patients with identified MRSA and suspected MRSA infections. The overall clinical efficacy ranged from 66.7% to 89.7%. The microbiologic efficacy rate ranged from 46.2% to 83%. In comparative studies between arbekacin and glycopeptides, arbekacin was similar to other glycopeptides with respect to clinical and microbiological efficacy rates. Combination trials with other antibiotics suggest that arbekacin will be a promising strategy to control Enterococcus spp. multi-drug resistant P. aeruginosa. The major adverse reaction was nephrotoxicity/hepatotoxicity, but patients recovered from most adverse reactions without any severe complications. Based on these results, arbekacin could be a good alternative to vancomycin/teicoplanin in MRSA treatment. Finally, therapeutic drug monitoring is recommended to maximize clinical efficacy and decrease nephrotoxicity.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pseudomonas aeruginosa
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Glicopeptídeos
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Enterococcus
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Monitoramento de Medicamentos
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Acinetobacter baumannii
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Staphylococcus aureus Resistente à Meticilina
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Antibacterianos
Limite:
Humans
Idioma:
En
Revista:
Infection and Chemotherapy
Ano de publicação:
2016
Tipo de documento:
Article