New Antimicrobials for Gram-Positive Sustained Infections: A Comprehensive Guide for Clinicians.

Gram-positive pathogens PK/PD features delafloxacin lipoglycopeptides novel anti-MRSA β-lactams omadacycline tedizolid

Journal

Pharmaceuticals (Basel, Switzerland)
ISSN: 1424-8247
Titre abrégé: Pharmaceuticals (Basel)
Pays: Switzerland
ID NLM: 101238453

Informations de publication

Date de publication:
15 Sep 2023
Historique:
received: 08 08 2023
revised: 30 08 2023
accepted: 11 09 2023
medline: 28 9 2023
pubmed: 28 9 2023
entrez: 28 9 2023
Statut: epublish

Résumé

Antibiotic resistance is a public health problem with increasingly alarming data being reported. Gram-positive bacteria are among the protagonists of severe nosocomial and community infections. The objective of this review is to conduct an extensive examination of emerging treatments for Gram-positive infections including ceftobiprole, ceftaroline, dalbavancin, oritavancin, omadacycline, tedizolid, and delafloxacin. From a methodological standpoint, a comprehensive analysis on clinical trials, molecular structure, mechanism of action, microbiological targeting, clinical use, pharmacokinetic/pharmacodynamic features, and potential for therapeutic drug monitoring will be addressed. Each antibiotic paragraph is divided into specialized microbiological, clinical, and pharmacological sections, including detailed and appropriate tables. A better understanding of the latest promising advances in the field of therapeutic options could lead to the development of a better approach in managing antimicrobial therapy for multidrug-resistant Gram-positive pathogens, which increasingly needs to be better stratified and targeted.

Identifiants

pubmed: 37765112
pii: ph16091304
doi: 10.3390/ph16091304
pmc: PMC10536666
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Davide Carcione (D)

Laboratory of Medicine and Microbiology, Busto Arsizio Hospital-ASST Valle Olona, 21052 Busto Arsizio, VA, Italy.

Jari Intra (J)

Clinical Chemistry Laboratory, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, MB, Italy.

Lilia Andriani (L)

Clinical Pathology and Microbiology Unit, Hospital of Sondrio, 23100 Sondrio, Italy.

Floriana Campanile (F)

Department of Biomedical and Biotechnological Sciences, Section of Microbiology, University of Catania, 95123 Catania, Italy.

Floriana Gona (F)

Laboratory of Microbiology and Virology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.

Silvia Carletti (S)

Laboratory of Microbiology and Virology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.

Nicasio Mancini (N)

Laboratory of Medical Microbiology and Virology, Department of Medicine and Technological Innovation, University of Insubria, 21100 Varese, Italy.
Laboratory of Medical Microbiology and Virology, Fondazione Macchi University Hospital, 21100 Varese, Italy.

Gioconda Brigante (G)

Laboratory of Medicine and Microbiology, Busto Arsizio Hospital-ASST Valle Olona, 21052 Busto Arsizio, VA, Italy.

Dario Cattaneo (D)

Department of Infectious Diseases ASST Fatebenefratelli Sacco, 20157 Milan, Italy.

Sara Baldelli (S)

Pharmacology Laboratory, Clinical Chemistry Laboratory, Diagnostic Department, ASST Spedali Civili, 25123 Brescia, Italy.

Mattia Chisari (M)

Microbiology and Virology Unit, Great Metropolitan Hospital "Bianchi-Melacrino-Morelli", 89100 Reggio Calabria, Italy.

Alessandra Piccirilli (A)

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, 67100 L'Aquila, Italy.

Stefano Di Bella (S)

Clinical Department of Medical, Surgical, and Health Sciences, Trieste University, 34129 Trieste, Italy.

Luigi Principe (L)

Microbiology and Virology Unit, Great Metropolitan Hospital "Bianchi-Melacrino-Morelli", 89100 Reggio Calabria, Italy.

Classifications MeSH