Clinical treatment of pandrug-resistant bacterial infection consulted by clinical pharmacist.

Saudi Pharm J

Department of Pharmacy, Songjiang Hospital Affiliated Shanghai First People's Hospital, Shanghai Jiao Tong University, Shanghai, China.

Published: September 2015

AI Article Synopsis

  • Pandrug-resistant (PDR) bacterial infections lead to longer hospital stays and increased mortality, with a study assessing 30 patients over three years examining treatment options.
  • The most common PDR bacteria identified were Acinetobacter baumannii (63.3%), Klebsiella pneumoniae (20.0%), and Pseudomonas aeruginosa (16.7%), with clinical pharmacists recommending effective treatment regimens achieving an 82.8% clinical cure rate.
  • Combination therapy involving doxycycline was found to be the most effective in treating PDR infections, with significant success rates in both monotherapy and combination therapy cases.

Article Abstract

Objective: Pandrug-resistant (PDR) bacterial infections are associated with considerable prolongation of hospitalization and mortality in clinical practice.

Method: This case-series study was conducted during a 3-year period from 2011 to 2013. A total of 30 PDR patients consulted by clinical pharmacist were recorded to evaluate the anti-infection treatment.

Results: All isolates of PDR bacteria from patients were identified as pan-drug resistant acine-tobacter baumannii (63.3%), pan-drug resistant klebsiella pneumonia (20.0%), and pandrug-resistant pseudomonas aeruginosa (16.7%). Of the 30 patients, 96.7% therapeutic regimens supposed by clinical pharmacists were applied to treat the infectious patients up to 82.8% clinical cure rates. 30 patients completed the prescribed treatment, of which 19 underwent monotherapy that the clinical cure rate was 78.9%, and 10 underwent combination therapy that the clinical cure rate was 90.0%. In the following therapy, doxycycline, cefoperazone shubatan and amikacin have the certain effect on anti-infection therapy. Combination therapy combined with doxycycline was better treatment option for PDR infectious patients.

Conclusion: In a word, it appears to be effective for the successful therapy of PDR infections upon tetracyclines administration.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4834688PMC
http://dx.doi.org/10.1016/j.jsps.2015.01.001DOI Listing

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