[New antibiotics - standstill or progress]

Med Klin Intensivmed Notfmed. 2017 Apr;112(3):206-213. doi: 10.1007/s00063-017-0271-3. Epub 2017 Mar 17.
[Article in German]

Abstract

The development of resistance to antibiotics has been ignored for a long time. But nowadays, increasing resistance is an important topic. For a decade no new antibiotics had been developed and it is not possible to quickly close this gap of new resistance and no new drugs. This work presents six new antibiotics (ceftaroline, ceftobiprole, solithromycin, tedizolid, ceftolozane/tazobactam, ceftazidime/avibactam). In part, only expert opinions are given due to lack of study results.The two 5th generation cephalosporins ceftaroline and ceftobiprole have beside their equivalent efficacy to ceftriaxone (ceftaroline) and cefipim (ceftobiprole) high activity against MRSA. The fluoroketolide solithromycin should help against macrolide-resistant pathogens and has been shown to be noninferior to the fluorochinolones. The oxazolidinone tedizolid is effective against linezolid-resistant MRSA. The two cephalosporins ceftolozane/tazobactam and ceftazidime/avibactam are not only effective against gram-negative pathogens, but they have a very broad spectrum. Due to the efficacy against extended-spectrum β‑lactamases, they can relieve the selection pressure of the carbapenems. We benefit from all new antibiotics which can take the selection pressure from other often used antibiotics. The increasing number of resistant gram-negative pathogens worldwide is alarming. Thus, focusing on the development of new drugs is extremely important.

Keywords: Beta-lactam resistance; Cephalosporins; Drug resistance, bacterial; Infection; MRSA.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Anti-Bacterial Agents / adverse effects*
  • Anti-Bacterial Agents / therapeutic use*
  • Azabicyclo Compounds / therapeutic use
  • Bacterial Infections / drug therapy*
  • Ceftaroline
  • Ceftazidime / therapeutic use
  • Cephalosporins / adverse effects
  • Cephalosporins / therapeutic use
  • Clinical Trials as Topic
  • Drug Approval*
  • Drug Combinations
  • Drug Resistance, Multiple, Bacterial*
  • Ephedrine
  • Humans
  • Macrolides / adverse effects
  • Macrolides / therapeutic use
  • Methicillin-Resistant Staphylococcus aureus / drug effects
  • Organophosphates / adverse effects
  • Organophosphates / therapeutic use
  • Oxazoles / adverse effects
  • Oxazoles / therapeutic use
  • Penicillanic Acid / adverse effects
  • Penicillanic Acid / analogs & derivatives
  • Penicillanic Acid / therapeutic use
  • Phenobarbital
  • Staphylococcal Infections / drug therapy
  • Tazobactam
  • Theophylline
  • Triazoles / adverse effects
  • Triazoles / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Azabicyclo Compounds
  • Cephalosporins
  • Drug Combinations
  • Macrolides
  • Organophosphates
  • Oxazoles
  • Triazoles
  • avibactam, ceftazidime drug combination
  • ceftolozane, tazobactam drug combination
  • ceftobiprole
  • ephedrine, phenobarbital, theophylline drug combination
  • Penicillanic Acid
  • Ceftazidime
  • solithromycin
  • Theophylline
  • Ephedrine
  • tedizolid phosphate
  • Tazobactam
  • Phenobarbital