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Update on clinical researches on novel antibiotics against Gram-negative bacteria
Received:June 23, 2023  Revised:August 03, 2023  Click here to download the full text
Citation of this paper:YAO Yumeng,CHEN Zhangzhang,SHAN Yuzhang,PAN Jue,HU Bijie.Update on clinical researches on novel antibiotics against Gram-negative bacteria[J].Chinese Journal of Clinical Medicine,2024,31(1):133-142
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Author NameAffiliationE-mail
YAO Yumeng Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
CHEN Zhangzhang Department of Pharmacology, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
SHAN Yuzhang Department of Laboratory Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
PAN Jue Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
HU Bijie Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Department of Infection Control and Management, Zhongshan Hospital, Fudan University, Shanghai 200032, China 
hu.bijie@zs-hospital.sh.cn 
Abstract:Therapeutic options are limited for drug-resistant Gram-negative bacterial (GNB) infections, posing great threats to human health. Major pathogens include extended-spectrum β-lactamases or AmpC β-lactamases and carbapenem-resistant bacteria. Among them, carbapenem-resistant Acinetobacter baumannii, Pseudomonas aeruginosa and Enterobacteriaceae are the most difficult to be treated. In recent years, a variety of novel antibiotics with anti-GNB activity have been developed in the world. In this paper, ten novel antibiotics are reviewed, including temocillin, cefiderocol, ceftolozone/tazobactam, ceftazidime/avibactam, cefepime/enmetazobactam, meropenem/vaborbactam, imipenem-cilastatin/relebactam, aztreonam/avibactam, eravacycline and plazomicin. Their mechanisms of action, antibacterial spectrum and potential side effects were introduced. Combined with the latest clinical studies of hospital-acquired pneumonia/ventilator-associated pneumonia (HAP/VAP), intra-abdominal infection (IAI) and complicated urinary tract infection (cUTI), the indications and potential clinical applications are summarized.
keywords:Gram-negative bacteria  antibiotic  resistance  carbapenem
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