Multiresistant Acinetobacter infections: a role for sulbactam combinations in overcoming an emerging worldwide problem.

Abstract

Recent studies have highlighted the emergence of infections involving multiresistant Acinetobacter clinical isolates. Sulbactam offers direct antimicrobial activity against Acinetobacter species. Accordingly, co-administration of sulbactam with ampicillin or cefoperazone offers the potential of effective empirical therapy against Acinetobacter and other bacteria such as Enterobacteriaceae in institutions in which they are susceptible. Many in vitro studies have indicated that Acinetobacter remains fully susceptible to ampicillin-sulbactam or cefoperazone-sulbactam. Furthermore, ampicillin-sulbactam has proven clinically effective and well tolerated in the treatment of severe acinetobacter infections, including bacteremia. Therefore, ampicillin-sulbactam is a sensible option for the treatment of life-threatening acinetobacter infections.

• Authors: A S Levin
• Journal: Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases (Clin Microbiol Infect) Vol. 8 Issue 3 Pg. 144-53 (Mar 2002) ISSN: 1198-743X [Print] England
• PMID: 12010169 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)

Chemical References

• Anti-Bacterial Agents
• Drug Combinations
• Ampicillin
• Cefoperazone
• Sulbactam

Topics

• Acinetobacter (genetics, physiology)
• Acinetobacter Infections (drug therapy, epidemiology, microbiology)
• Ampicillin (adverse effects, therapeutic use)
• Anti-Bacterial Agents (adverse effects, therapeutic use)
• Cefoperazone (adverse effects, therapeutic use)
• Drug Combinations
• Drug Resistance, Multiple, Bacterial (genetics)
• Humans
• Microbial Sensitivity Tests
• Sulbactam (administration & dosage, adverse effects, therapeutic use)