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Recurrent neurosurgical site infection by extensively drug-resistant P. aeruginosa treated with cefiderocol: a case report and literature review.

Authors
  • Bavaro, Davide Fiore1
  • Romanelli, Federica2
  • Stolfa, Stefania2
  • Belati, Alessandra1
  • Diella, Lucia1
  • Ronga, Luigi2
  • Fico, Cecilia1
  • Monno, Laura1
  • Mosca, Adriana2
  • Saracino, Annalisa1
  • 1 Clinic of Infectious Diseases, University of Bari, University Hospital Policlinico, Bari, Italy. , (Italy)
  • 2 Microbiology and Virology Unit, University of Bari, University Hospital Policlinico, Bari, Italy. , (Italy)
Type
Published Article
Journal
Infectious diseases (London, England)
Publication Date
Mar 01, 2021
Volume
53
Issue
3
Pages
206–211
Identifiers
DOI: 10.1080/23744235.2020.1856921
PMID: 33295821
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Cefiderocol is a new siderophore cephalosporin designed to be active against extensively resistant Gram-negative bacteria; however, clinical studies are limited to complicated urinary tract infections, pneumonia, and intra-abdominal infections. To date, no data are available on neurosurgical site infections. We present a case of a patient successfully cured with Cefiderocol for a neurosurgical site infection due to extensively resistant P. aeruginosa, who had failed a previous treatment based on combined antimicrobial therapy and right parietal bone excision. Cefiderocol is a promising antibiotic for complicated infections due to multidrug resistant gram-negative bacteria.

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