Table 3.
Summary of Five Cases Died Receiving Ceftazidime-Avibactam for Carbapenem-Resistant Pathogen Infections
Age | Sex | Comorbidity | Infection Source | Species | Carbapenemase | Therapy | Dosing | Duration (Days) | Microbiological Eradication | Comments |
---|---|---|---|---|---|---|---|---|---|---|
9 mo | F | HM | Pneumonia | Klebsiella pneumoniae | MBL | CAZ-AVI+ aztreonam | 0.46g q8h | 12 | Yes | Admitted with fever and myelosuppression, died due to respiratory failure |
5 y | F | HM | Bloodstream | Escherichia coli | MBL | CAZ-AVI+ aztreonam | 1.25g q8h | 18 | Yes | Admitted with AML M5, had chemotherapy, died due to multiorgan failure |
9 y | M | Trauma | Pneumonia Bloodstream |
Klebsiella pneumoniae | Not tested | CAZ-AVI | 2.5g q8h | 4 | No | Admitted with a traumatic brain injury and died due to progressive multiorgan failure |
11 y | F | HM | Bloodstream | Escherichia coli | MBL | CAZ-AVI+ aztreonam | 2.3g q8h | 8 | Not tested | Admitted with joint pain, rapid worsening with septic shock, died due to respiratory failure |
16 y | M | HSCT | Bloodstream | Klebsiella pneumoniae | SBL | CAZ-AVI+ tigecycline | 2.5g q8h | 10 | No | Developed polymicrobial infections and died due to septic shock and multiorgan failure |
Abbreviations: AML, acute myeloid leukemia; CAZ-AVI, ceftazidime-avibactam; F, female; HM, hematologic malignancies; HSCT, hematopoietic stem cell transplant; M, male; mo, months; MBL, metallo-β-lactamases; SBL, serine β-lactamases; y, years.