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Enterococcus faecalis is responsible for numerous serious infections, and treatment options often include ampicillin combined with an aminoglycoside or dual beta-lactam therapy with ampicillin and a third-generation cephalosporin. The mechanism of dual beta-lactam therapy relies on the saturation of penicillin-binding proteins (PBPs). Ceftobiprole exhibits high affinity binding to nearly all E.

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Ceftobiprole Medocaril: A New Fifth-Generation Cephalosporin.

Ann Pharmacother

December 2024

Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Science, Wayne State University, Detroit, MI, USA.

Objective: The objective was to review the pharmacology, efficacy, and safety of intravenous ceftobiprole in the treatment of bloodstream infections, acute bacterial skin and skin structure infections (ABSSSIs), community-acquired pneumonia (CAP), and hospital-acquired pneumonia (HAP), or ventilator-associated pneumonia (VAP).

Data Sources: PubMed and ClinicalTrials.gov were searched using the following terms: ceftobiprole, ceftobiprole medocaril, ceftobiprole medocaril sodium, Zevtera, and BAL5788.

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Article Synopsis
  • - A patient with a brain abscess was admitted to the hospital, highlighting challenges in effective treatment due to limited drug options that can penetrate the central nervous system.
  • - The team opted to use ceftobiprole, which has strong anti-streptococcal properties and is available for therapeutic drug monitoring at the hospital.
  • - To enhance the drug's effectiveness, they administered ceftobiprole through a prolonged intravenous infusion and closely monitored its levels in the patient's plasma and cerebrospinal fluid.
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There is an increasing need for new synergistic antimicrobial combinations against multidrug-resistant bacteria. Our objective was to evaluate the activity of ceftaroline, ceftobiprole and their combination with trimethoprim/sulfamethoxazole against methicillin-resistant (MRSA) isolates recovered at two centers in Turkey. Activities of ceftaroline and ceftobiprole were tested against 100 MRSA isolates using gradient diffusion method.

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