Table 1.
Commonly used antimicrobials for MDR pathogens. (62, 112, 113)
Organism | 1st line antimicrobials | Contraindication to transplant |
---|---|---|
MDR. P. aeruginosa | 2 of the following: Carbapenem, piperacillin/tazobactam, cefepime, aminoglycosides, quinolones | Rare |
Pan resistant P. aeruginosa | any of above +/- colistin | |
B. cenocepacia | Ceftazidime, tetracyclines, trimethoprim-sulfamethoxazole, carbapenem | Probable |
B. gladioli | Piperacillin, aminoglycosides, carbapenem, ciprofloxacin | Possible |
A. baumannii | Carbapenem, colistin, tigecycline, ampicillin/sulbactam | Possible |
M. abscessus | Clarithromycin + amikacin | Possible |
2nd line: Clarithromycin + imipenem or cefoxitin | ||
M. avium complex | Clarithromycin, ethambutol, rifampin | Rare |
S. apiospermum | Voriconazole +/- echinocandin | Possible |
S. prolificans | Voriconazole +/- echinocandin +/-terbinafine | Possible |
A. terreus | Voriconazole +/- echinocandin | Rare |