| Literature DB >> 27865626 |
Justin R Lenhard1, Roger L Nation2, Brian T Tsuji3.
Abstract
The proliferation of extensively drug-resistant Gram-negative pathogens has necessitated the therapeutic use of colistin and polymyxin B. However, treatment failures with polymyxin monotherapies and the emergence of polymyxin resistance have catalysed the search for polymyxin combinations that synergistically kill polymyxin-susceptible and -resistant organisms. This mini-review examines recent (2011-2016) in vitro and in vivo studies that have attempted to identify synergistic polymyxin combinations against Pseudomonas aeruginosa, Klebsiella pneumoniae and Acinetobacter baumannii. Clinical evidence for the use of combination regimens is also discussed.Entities:
Keywords: Acinetobacter baumannii; Combinations; Klebsiella pneumoniae; Polymyxins; Pseudomonas aeruginosa; Synergy
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Year: 2016 PMID: 27865626 PMCID: PMC5237374 DOI: 10.1016/j.ijantimicag.2016.09.014
Source DB: PubMed Journal: Int J Antimicrob Agents ISSN: 0924-8579 Impact factor: 5.283