Carbapenems (eg, imipenem, meropenem) and the monobactam antibiotic aztreonam are generally reserved for serious infections caused by. Meropenem – Download as PDF File .pdf), Text File .txt) or read online. antibiotik Meropenem. Copyright: © All Rights Reserved. Download as PDF, TXT or. , Meropenem45, MEM, 10 mcg, 10/SP. , Metronidazole78, MET, 80 mcg, 10/SP. , Mezlocillin46, MZ, 75 mcg, 1/EA.

Author: Taut Kelmaran
Country: Azerbaijan
Language: English (Spanish)
Genre: Spiritual
Published (Last): 23 February 2008
Pages: 499
PDF File Size: 8.38 Mb
ePub File Size: 1.77 Mb
ISBN: 589-9-66231-773-6
Downloads: 35484
Price: Free* [*Free Regsitration Required]
Uploader: Kegami

Adult patients Pharmacokinetic studies performed in patients antibootik not shown significant pharmacokinetic differences versus healthy subjects with equivalent renal function. Treatment outcome of bacteremia due to KPC-producing Klebsiella pneumoniae: New Delhi metallo-beta-lactamase from traveler returning to Canada.

In addition, despite in vitro susceptibility, on-treatment resistance emergence has been described [ 1343 ].

Microb Drug Resist ; Use in patients with liver disease: The next retrospective cohort study also demonstrated lower mortality rate with combination treatment usually a carbapenem with colistin or tigecycline compared with monotherapy [ 21 ].

Complicated skin and soft tissue infections. Hepatic impairment No dose adjustment is necessary in patients with hepatic impairment see section 4. Antimicrob Agents Chemother ; Colistin therapy for microbiologically documented multidrug-resistant Gram-negative bacterial infections: Animal studies indicate that meropenem is well tolerated by the kidney.

β-lactam antibiotic

J01DH02 Mechanism of action Meropenem exerts its bactericidal antibitik by inhibiting bacterial cell wall synthesis in Gram-positive and Gram-negative bacteria through binding to penicillin-binding proteins PBPs. Hepatic insufficiency A study in patients with alcoholic cirrhosis shows no effect of liver disease on the pharmacokinetics of meropenem after repeated doses.


Use of Monte Carlo simulation to design an optimized pharmacodynamic dosing strategy for meropenem. The following table of pathogens listed is derived from clinical experience and therapeutic guidelines. Pregnancy There are no or limited amount of data from the use of meropenem in pregnant women.

KPC – 3 Klebsiella pneumoniae ST clone infection in postoperative abdominal surgery patients in an intensive care setting: Decreased susceptibility to polymyxin B during treatment for carbapenem-resistant Klebsiella pneumoniae infection. Curr Med Res Opin ; The AUC of the microbiologically inactive ring opened metabolite was also considerably increased in patients with renal impairment. To optimize therapy and minimize the risk of toxicity, daily administration and limiting therapy to the shortest possible course is preferred.

In vivo efficacy of simulated human dosing regimens of prolonged-infusion doripenem against carbapenemase-producing Klebsiella pneumoniae. Infusion For intravenous infusion meropenem vials may be directly constituted with 0.

Trends Mol Med ; The ideal dosages of colistin and polymyxin B are largely unknown, especially in the case of renal failure, renal replacement therapy, and critical illness [ 34 ]. A new biosynthetic enzyme”.

Colistin may be best used as a part of combination therapy for patients with good renal function. Diagn Microbiol Infect Dis ; Meropenem antibiiotik patented in Streptococcus groups A, B, C and G. Ultimately fatal disease HR, 3. Abstract This article provides a comprehensive review antibitoik currently available treatment options for infections due to carbapenem-resistant Enterobacteriaceae CRE.

Elderly Pharmacokinetic studies in healthy elderly subjects years have shown a reduction in plasma clearance, which correlated with age-associated reduction in creatinine clearance, and a smaller reduction in non-renal clearance.


Actual mortality rate for drug of interest not included in referenced study. Hefny Pharma Group antibbiotik. For more information see referenced study.


If any of these drugs have in vitro activity and are selected for use especially for infections outside the urinary tract for aminoglycosides and fosfomycinconsider use in combination with 2 other in vitro active drugs due the potential for the emergence of on-treatment resistance. As necessary, expert advice should be sought antibiotil the local prevalence of resistance is such that the utility of the agent in at least some types of infections is questionable.

β-lactam antibiotic – Wikipedia

High-dose meropenem or doripenem And fosfomycin g Or aminoglycoside g. High-dose meropenem or doripenem And polymyxin B And high-dose tigecycline. Appropriate antimicrobial therapy OR, 0. Patients discussed in the recent literature are more critically ill, ventilated, and sedated, which might significantly limit the ability to detect neurotoxicity, which is primarily manifested as paresthesias and ataxia.

Find out more here. Therefore, despite being dosed at a lower milligram per kilogram per day dose, polymyxin B can achieve higher peak serum concentrations, which are achieved much more rapidly than with colistin [ 3132 ]. In case reports, ertapenem plus either doripenem or meropenem has been used successfully to treat select pandrug-resistant and colistin-resistant KPC-producing K pneumoniae infections bacteremia, VAP, and UTI.

Polymyxin B b Bactericidal d concentration dependent ; disrupt cell membrane permeability by charge alteration fAUC: Double-carbapenem therapy for carbapenemase-producing Klebsiella pneumoniae.