《Current Evidence and Considerations in the Management of Complicated Infections》.pptVIP

《Current Evidence and Considerations in the Management of Complicated Infections》.ppt

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David P. Nicolau, PharmD, FCCP, FIDSA Director, Center for Anti-Infective Research and Development Hartford Hospital Hartford, CT ;Disclosures;Improving the Probability of Positive Outcomes;Antimicrobial Resistance;Characteristics of Infections due to ESBL-producing Bacteria Risk Factors;Antimicrobial Resistance in Gram-negative bacilli;Clinical Economic Impact of Resistance;Improving the Probability of Positive Outcomes;Antimicrobial Stewardship: Part of the Solution?;Matches antibiotic susceptibilities of the organism to the antibiotic used “S” = Success;Optimizing Antimicrobial Exposures: Pharmacodynamics;Carbapenem Usage Continues to Rise Dramatically in the US (2003-2008);Collateral Damage v. Collateral Benefit;Carbapenem-resistant Enterobacteriaceae (CRE);Acinetobacter baumannii ;Polymyxins ;Expanded broad spectrum of in vitro activity Avoidance of tetracycline-resistance mechanisms;Tigecycline;Log10 Number of organisms;Tigecycline: In Vivo Bactericidal Activity;Tigecycline;Tigecycline Is Not Affected by Common Antibiotic-Resistance Mechanisms;Tigecycline Susceptibility versus ESBL producing Escherichia coli and Klebsiella pneumoniae;Tigecycline: An Expanded Broad Spectrum of In Vitro Activity;Tigecycline Dosing;Clinical Cure Rates in cSSSI and cIAI;Cure Rates by Mono/Polymicrobial Infection in the ME Population in cIAI;Common Treatment-Emergent Adverse Events in cSSSI Studies;Treatment Discontinuation Rates Due to Adverse Events in the m-ITT Population in cSSSI Studies;Complicated Skin skin Structure Gram-positive coverage Vancomycin Linezolid Daptomycin Nafcillin or cefazolin (documented MSSA) Plus Gram-negative coverage Cephalosporins / aztreonam Fluoroquinolones / Aminoglycosides Piperacillin/tazobactam Carbapenems Monotherapy (including MRSA) Tigecycline;Pharmacodynamic Profiles of Agents used in the Management of cSSSI;Tigecycline: Concentration-time Profiles in Plasma Tissue of Patients with Lower Limb Infections;Intraabdominal Infecti

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