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Infect. Dis. Clin. North Am. · Sep 2017
ReviewInhaled Antibiotics for Ventilator-Associated Infections.
- Lucy B Palmer.
- Pulmonary, Critical Care and Sleep Division, SUNY at Stony Brook, HSC T17-040, Stony Brook, NY 11794-8172, USA. Electronic address: lucy.b.palmer@stonybrook.edu.
- Infect. Dis. Clin. North Am. 2017 Sep 1; 31 (3): 577-591.
AbstractMultidrug-resistant organisms are creating a challenge for physicians treating the critically ill. As new antibiotics lag behind the emergence of worsening resistance, intensivists in countries with high rates of extensively drug-resistant bacteria are turning to inhaled antibiotics as adjunctive therapy. These drugs can provide high concentrations of drug in the lung that could not be achieved with intravenous antibiotics without significant systemic toxicity. This article summarizes current evidence describing the use of inhaled antibiotics for the treatment of bacterial ventilator-associated pneumonia and ventilator-associated tracheobronchitis. Preliminary data suggest aerosolized antimicrobials may effectively treat resistant pathogens with high minimum inhibitory concentrations.Copyright © 2017 Elsevier Inc. All rights reserved.
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