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Journal of Education, Health and Sport

The solution to drug resistance of Gram-negative bacteria – Cefiderocol
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  • The solution to drug resistance of Gram-negative bacteria – Cefiderocol
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  3. Vol. 33 No. 1 (2023) /
  4. Review Articles

The solution to drug resistance of Gram-negative bacteria – Cefiderocol

Authors

  • Magdalena Kołodziej Medical University of Lublin https://orcid.org/0000-0002-6597-1559
  • Kamila Gorczyca Department of Obstetrics and Perinatology, Medical University of Lublin https://orcid.org/0000-0002-7976-0509
  • Ilona Jastrzębska Medical University of Lublin https://orcid.org/0000-0001-6754-529X
  • Paweł Węgorowski Vincent Pol University in Lublin https://orcid.org/0000-0001-6077-7653
  • Michał Wieczorek Vincent Pol University in Lublin https://orcid.org/0000-0002-3204-5022

DOI:

https://doi.org/10.12775/JEHS.2023.33.01.002

Keywords

cefiderocol, resistance, gram negative bacteria

Abstract

Introduction: A major public health problem is the emergence of anti-gram-negative antimicrobial resistance worldwide. Cefiderocol is a new agent targeting Gram-negative bacteria, including strains with resistance to carbapenems.

Aim of the study: Analysis of the efficiency of cefiderocol in the treatment of infections caused by gram-negative bacteria, the drug's mechanism of action and pharmacokinetics and pharmacodynamics of the drug.

Material and Methods: Search of the PubMed database using the following keywords: cefiderocol, resistance, gram negative bacteria. Only full-length articles were taken into consideration.

Results: The studies show that cefiderocol is active against Enterobacteriaceae, P. aeruginosa, B. cepacia and A. baumannii and effective in the treatment of pneumonia in both non-ventilated and ventilated patients. Moreover, it has been used in the treatment of sepsis as a rescue therapy.

Conclusion: Cefiderocol is an effective treatment for infections caused by gram-negative bacteria. However, more research is needed to learn more about the use of this drug, side effects and resistance mechanisms.

References

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Bilal, M.; El Tabei, L.; Büsker, S.; Krauss, C.; Fuhr, U.; Taubert, M. Clinical Pharmacokinetics and Pharmacodynamics of Cefiderocol. Clin. Pharmacokinet. 2021, 60, 1495–1508, doi:10.1007/s40262-021-01063-5.

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Gijón Cordero, D.; Castillo-Polo, J.A.; Ruiz-Garbajosa, P.; Cantón, R. Antibacterial Spectrum of Cefiderocol. Rev. Espanola Quimioter. Publicacion Of. Soc. Espanola Quimioter. 2022, 35 Suppl 2, 20–27, doi:10.37201/req/s02.03.2022.

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Saisho, Y.; Katsube, T.; White, S.; Fukase, H.; Shimada, J. Pharmacokinetics, Safety, and Tolerability of Cefiderocol, a Novel Siderophore Cephalosporin for Gram-Negative Bacteria, in Healthy Subjects. Antimicrob. Agents Chemother. 2018, 62, e02163-17, doi:10.1128/AAC.02163-17.

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Nordmann, P.; Shields, R.K.; Doi, Y.; Takemura, M.; Echols, R.; Matsunaga, Y.; Yamano, Y. Mechanisms of Reduced Susceptibility to Cefiderocol Among Isolates from the CREDIBLE-CR and APEKS-NP Clinical Trials. Microb. Drug Resist. Larchmt. N 2022, 28, 398–407, doi:10.1089/mdr.2021.0180.

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Kawaguchi, N.; Katsube, T.; Echols, R.; Wajima, T. Population Pharmacokinetic Analysis of Cefiderocol, a Parenteral Siderophore Cephalosporin, in Healthy Subjects, Subjects with Various Degrees of Renal Function, and Patients with Complicated Urinary Tract Infection or Acute Uncomplicated Pyelonephritis. Antimicrob. Agents Chemother. 2018, 62, e01391-17, doi:10.1128/AAC.01391-17.

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Maseda, E.; Suárez de la Rica, A. The Role of Cefiderocol in Clinical Practice. Rev. Esp. Quimioter. 2022, 35, 39–44, doi:10.37201/req/s02.06.2022.

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Saisho, Y.; Katsube, T.; White, S.; Fukase, H.; Shimada, J. Pharmacokinetics, Safety, and Tolerability of Cefiderocol, a Novel Siderophore Cephalosporin for Gram-Negative Bacteria, in Healthy Subjects. Antimicrob. Agents Chemother. 2018, 62, e02163-17, doi:10.1128/AAC.02163-17.

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Published

2023-05-23

How to Cite

1.
KOŁODZIEJ, Magdalena, GORCZYCA, Kamila, JASTRZĘBSKA, Ilona, WĘGOROWSKI, Paweł and WIECZOREK, Michał. The solution to drug resistance of Gram-negative bacteria – Cefiderocol. Journal of Education, Health and Sport. Online. 23 May 2023. Vol. 33, no. 1, pp. 17-21. [Accessed 28 June 2025]. DOI 10.12775/JEHS.2023.33.01.002.
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Vol. 33 No. 1 (2023)

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Review Articles

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Copyright (c) 2023 Magdalena Kołodziej, Kamila Gorczyca, Ilona Jastrzębska, Paweł Węgorowski, Michał Wieczorek

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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