Case Commentary: Uncertainty in Evaluating Treatment Outcomes in Carbapenem-Resistant Acinetobacter baumannii Infections

Antimicrob Agents Chemother. 2021 Oct 18;65(11):e0142421. doi: 10.1128/AAC.01424-21. Epub 2021 Aug 23.

Abstract

Carbapenem-resistant Acinetobacter baumannii (CRAB) infections are challenging to treat and associated with poor clinical outcomes. In this issue, sulbactam-durlobactam, a novel β-lactam-β-lactamase inhibitor, was used with cefiderocol to successfully treat CRAB pneumonia. While this report and in vitro data are encouraging, determining the impact of treatment regimens on clinical outcomes after CRAB infections is not straightforward. Therefore, careful evaluation in pathogen-directed randomized controlled trials is needed to determine the optimal treatment of CRAB infections.

Keywords: Acinetobacter; cefiderocol; durlobactam; sulbactam.

MeSH terms

  • Acinetobacter Infections* / drug therapy
  • Acinetobacter baumannii*
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Carbapenems / pharmacology
  • Carbapenems / therapeutic use
  • Humans
  • Microbial Sensitivity Tests
  • Treatment Outcome
  • Uncertainty

Substances

  • Anti-Bacterial Agents
  • Carbapenems