Clinical profile of patients treated with cefepime/tazobactam: A new ß-lactam-ß-lactamase inhibitor combination

Volume: 2 Number: 03 September 1, 2012
  • Abdul Ghafur
  • Ashwini Tayade
  • Priyadarshini Kannaian
EN TR

Clinical profile of patients treated with cefepime/tazobactam: A new ß-lactam-ß-lactamase inhibitor combination

Abstract

Abdul Ghafur, Ashwini Tayade, Priyadarshini Kannaian Background and Purpose: Cefepime-tazobactam is a new ß-lactam ß-lactamase inhibitor combination licensed for clinical use by Drugs Controller General of India. Aim of our study was to analyze the clinical efficacy and safety of cefepime-tazobactam in patients with sepsis. To the best of our knowledge, this is the first published clinical study on this drug. Materials and Methods: A retrospective observational study on the efficacy and safety of cefepime-tazobactam was conducted at tertiary care hospital, South India. Patients who had a clear source of infection, having a single organism as the causative agent and being treated with cefepime-tazobactam alone were analyzed for efficacy and those cases who had a clear source of infection but either had multiple organism grown or cultures being negative or those patients who received a combination of antibiotics were analyzed for the safety analysis. Results: Thirty two patients satisfied our study criteria. All 15 patients in the efficacy group (nine with ventilator associated pneumonia, three tracheitis, two bacteraemia and one with urosepsis) had complete clinical cure, with microbiological cure in cases where a repeat culture was indicated. There were no significant side effects in any of the evaluable 32 patients assessed for safety. Conclusion: Cefepime-tazobactam is a safe and effective agent to treat patients with nonlife threatening sepsis due to Gram negative bacteria.

Keywords

References

  1. Falagas ME, Bliziotis IA, Kasiakou SK, Samonis G, Atha- nassopoulou P, Michalopoulos A. Outcome of infections due to pandrug- resistant (PDR) Gram-negative bacteria. BMC Infect Dis 2005 ; 5: 24-28.
  2. Marchaim D, Chopra T, Jason M Pogue, et al. Outbreak of Colistin-Resistant, Carbapenem-Resistant Klebsiella pneu- monia in Metropolitan Detroit, Michigan. Antimicrob Agent Chemother 2011; 55: 2593-2599.
  3. Taneja N, Singh G, Singh M, Sharma M. Emergence of tigecy- cline & colistin resistant Acinetobacter baumanii in patients with complicated urinary tract infections in north India. Indian J Med Res 2011; 133: 681-684.
  4. Rodríguez-Baño J, Navarro MD, Retamar P, et al. β-Lactam/β- Lactam inhibitor combinations for the treatment of bacte- remia due to extended-spectrum β-lactamase-producing Eschıerichia coli: A post hoc analysis of prospective cohorts. Clin Infect Dis 2012: 54:167-174.
  5. Livermore DM, Hope R, Mushtaq S, Warner M. Orthodox and unorthodox clavulanate combinations against extended spectrum ß-lactamase producers. Clin Microbiol Infect 2008; 14:189-193.
  6. Deshpande P, Rodrigues C, Shetty A, Kapadia F, Hegde A, Soman R. New Delhi Metallo-ß-lactamase (NDM-1) in En- terobacteriaceae: Treatment options with Carbapenems Compromised. J Assoc Physicians India 2010; 58:147-149.
  7. Chaudhuri BN, Rodrigues C, Balaji V, et al. Incidence of ESBL Producers amongst Gram-negative Bacilli Isolated from Intra-abdominal Infections across India (Based on SMART Study, 2007 Data). J Assoc Physicians India 2011; 59:1-6.
  8. Abdul Ghafur K. An obituary- On the Death of antibiotics J As- soc Physicians India 2010; 58:143-144.

Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Abdul Ghafur This is me

Ashwini Tayade This is me

Priyadarshini Kannaian This is me

Publication Date

September 1, 2012

Submission Date

April 30, 2015

Acceptance Date

-

Published in Issue

Year 2012 Volume: 2 Number: 03

APA
Ghafur, A., Tayade, A., & Kannaian, P. (2012). Clinical profile of patients treated with cefepime/tazobactam: A new ß-lactam-ß-lactamase inhibitor combination. Journal of Microbiology and Infectious Diseases, 2(03), 79-86. https://doi.org/10.5799/ahinjs.02.2012.03.0049
AMA
1.Ghafur A, Tayade A, Kannaian P. Clinical profile of patients treated with cefepime/tazobactam: A new ß-lactam-ß-lactamase inhibitor combination. J Microbil Infect Dis. 2012;2(03):79-86. doi:10.5799/ahinjs.02.2012.03.0049
Chicago
Ghafur, Abdul, Ashwini Tayade, and Priyadarshini Kannaian. 2012. “Clinical Profile of Patients Treated With Cefepime Tazobactam: A New ß-Lactam-ß-Lactamase Inhibitor Combination”. Journal of Microbiology and Infectious Diseases 2 (03): 79-86. https://doi.org/10.5799/ahinjs.02.2012.03.0049.
EndNote
Ghafur A, Tayade A, Kannaian P (September 1, 2012) Clinical profile of patients treated with cefepime/tazobactam: A new ß-lactam-ß-lactamase inhibitor combination. Journal of Microbiology and Infectious Diseases 2 03 79–86.
IEEE
[1]A. Ghafur, A. Tayade, and P. Kannaian, “Clinical profile of patients treated with cefepime/tazobactam: A new ß-lactam-ß-lactamase inhibitor combination”, J Microbil Infect Dis, vol. 2, no. 03, pp. 79–86, Sept. 2012, doi: 10.5799/ahinjs.02.2012.03.0049.
ISNAD
Ghafur, Abdul - Tayade, Ashwini - Kannaian, Priyadarshini. “Clinical Profile of Patients Treated With Cefepime Tazobactam: A New ß-Lactam-ß-Lactamase Inhibitor Combination”. Journal of Microbiology and Infectious Diseases 2/03 (September 1, 2012): 79-86. https://doi.org/10.5799/ahinjs.02.2012.03.0049.
JAMA
1.Ghafur A, Tayade A, Kannaian P. Clinical profile of patients treated with cefepime/tazobactam: A new ß-lactam-ß-lactamase inhibitor combination. J Microbil Infect Dis. 2012;2:79–86.
MLA
Ghafur, Abdul, et al. “Clinical Profile of Patients Treated With Cefepime Tazobactam: A New ß-Lactam-ß-Lactamase Inhibitor Combination”. Journal of Microbiology and Infectious Diseases, vol. 2, no. 03, Sept. 2012, pp. 79-86, doi:10.5799/ahinjs.02.2012.03.0049.
Vancouver
1.Abdul Ghafur, Ashwini Tayade, Priyadarshini Kannaian. Clinical profile of patients treated with cefepime/tazobactam: A new ß-lactam-ß-lactamase inhibitor combination. J Microbil Infect Dis. 2012 Sep. 1;2(03):79-86. doi:10.5799/ahinjs.02.2012.03.0049

Cited By