TABLE 2.
Patients treated with cefiderocol | |||||||
---|---|---|---|---|---|---|---|
Patient | Age, Sex | Co-morbidities | VIM infection site | Pathogens identified | Duration of cefiderocol treatment (d) | Co-administration of amikacin | Treatment outcome (determined by) |
1 | 38, female | None | Bacteremia, neck wound | Klebsiella pneumoniae (VIM), Pseudomonas aeruginosa (wound only) | 17 | Yes (15 d) | Success (clearance of bacteremia, resolution of fevers) |
2a | 30, male | None | Bacteremia, R arm | Klebsiella pneumoniae (VIM), Serratia marcescens (VIM) | 9 | Yes (4 d) | Failure (persistent fevers, persistent bacteremia, recovery of cefiderocol resistant-Klebsiella pneumoniae from blood) |
3 | 67, male | HTN, diabetes | L lower extremity | Klebsiella pneumoniae (VIM), Ochrobactrum anthropi | 12 | Yes (6 d) | Failure (persistent fevers, recovery of cefiderocol resistant-Klebsiella pneumoniae from the same site) |
4b | 30, male | None | R lower extremity | Klebsiella pneumoniae (VIM), Pseudomonas aeruginosa | 19 | No | Success (resolution of fevers, clinical assessment of wound, subsequent tissue culture) |
5 | 23, male | Diabetes | Bacteremia, neck wound | Klebsiella pneumoniae (VIM) | 10 | Yes (9 d) | Success (clearance of bacteremia) |
Patient 2 is included in both lists as he was treated with cefiderocol and amikacin followed by aztreonam, ceftazidime-avibactam, and amikacin for salvage therapy. Although his infection improved with salvage therapy, he subsequently developed candidemia and an Aspergillus wound infection. He passed away after a transition of goals of care.
Patient 4 is included in both lists as he had multiple separate infections due to VIM-CROs during his hospitalization and received both cefiderocol and the combination of ceftazidime-avibactam and aztreonam at different times.
Patient 8 had two infections due to VIM-CROs, isolated 21 days apart, during his hospitalization for which he received two separate courses of ceftazidime-avibactam and aztreonam.