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Ceftaroline fosamil as a potential treatment option for Staphylococcus aureus community-acquired pneumonia in adults.
Int J Antimicrob Agents. 2019 Oct; 54(4):410-422.IJ

Abstract

Staphylococcus aureus (S. aureus), including methicillin-resistant S. aureus (MRSA), is an important aetiological cause of community-acquired pneumonia (CAP) and associated with significant morbidity and mortality. Empiric therapy for CAP frequently consists of β-lactam monotherapy or β-lactam/macrolide combination therapy. However, such agents are often ineffective against S. aureus and do not reflect the emergence and increasing prevalence of MRSA in the community setting. Ceftaroline fosamil is a fifth-generation parenteral cephalosporin with broad-spectrum activity against Gram-positive pathogens - such as S. aureus (including MRSA), Streptococcus pneumoniae and Streptococcus pyogenes - and typical Gram-negative pathogens, including Haemophilus influenzae and Moraxella catarrhalis. The approval of ceftaroline fosamil in the United States and Europe for the treatment of adults with moderate-to-severe CAP was based on two phase 3 trials (FOCUS 1 and 2), which demonstrated that ceftaroline fosamil was non-inferior to ceftriaxone, a standard empiric treatment for CAP, while exhibiting a comparable safety profile. Although head-to-head trials of ceftaroline fosamil versus comparators against MRSA CAP are lacking, the effectiveness of ceftaroline fosamil in subpopulations of patients not covered by phase 3 trials (e.g. those with MRSA CAP or severe renal impairment) has been demonstrated in the Clinical Assessment Program and Teflaro Utilization Registry (CAPTURE) study. As ineffective empiric therapy is associated with adverse outcomes, including mortality and increased costs, ceftaroline fosamil, with its extended spectrum of activity, is an attractive alternative to standard antibiotic CAP regimens.

Authors+Show Affiliations

University of Hannover, School of Medicine, Carl-Neuberg-Straβe, 30625 Hannover, Germany. Electronic address: welte.tobias@mh-hannover.de.Pfizer, 23-25 Avenue du Dr Lannelongue, 75668 Paris, France.Pfizer, 280 Shennecossett Rd, Groton, CT 06340, USA.Pfizer, 500 Arcola Rd, Collegeville, PA 19426, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31404620

Citation

Welte, Tobias, et al. "Ceftaroline Fosamil as a Potential Treatment Option for Staphylococcus Aureus Community-acquired Pneumonia in Adults." International Journal of Antimicrobial Agents, vol. 54, no. 4, 2019, pp. 410-422.
Welte T, Kantecki M, Stone GG, et al. Ceftaroline fosamil as a potential treatment option for Staphylococcus aureus community-acquired pneumonia in adults. Int J Antimicrob Agents. 2019;54(4):410-422.
Welte, T., Kantecki, M., Stone, G. G., & Hammond, J. (2019). Ceftaroline fosamil as a potential treatment option for Staphylococcus aureus community-acquired pneumonia in adults. International Journal of Antimicrobial Agents, 54(4), 410-422. https://doi.org/10.1016/j.ijantimicag.2019.08.012
Welte T, et al. Ceftaroline Fosamil as a Potential Treatment Option for Staphylococcus Aureus Community-acquired Pneumonia in Adults. Int J Antimicrob Agents. 2019;54(4):410-422. PubMed PMID: 31404620.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ceftaroline fosamil as a potential treatment option for Staphylococcus aureus community-acquired pneumonia in adults. AU - Welte,Tobias, AU - Kantecki,Michal, AU - Stone,Gregory G, AU - Hammond,Jennifer, Y1 - 2019/08/09/ PY - 2019/03/11/received PY - 2019/07/25/revised PY - 2019/08/05/accepted PY - 2019/8/14/pubmed PY - 2020/1/10/medline PY - 2019/8/13/entrez KW - Ceftaroline fosamil KW - Community-acquired pneumonia KW - Influenza KW - Methicillin-resistant KW - Methicillin-sensitive KW - Staphylococcus aureus SP - 410 EP - 422 JF - International journal of antimicrobial agents JO - Int J Antimicrob Agents VL - 54 IS - 4 N2 - Staphylococcus aureus (S. aureus), including methicillin-resistant S. aureus (MRSA), is an important aetiological cause of community-acquired pneumonia (CAP) and associated with significant morbidity and mortality. Empiric therapy for CAP frequently consists of β-lactam monotherapy or β-lactam/macrolide combination therapy. However, such agents are often ineffective against S. aureus and do not reflect the emergence and increasing prevalence of MRSA in the community setting. Ceftaroline fosamil is a fifth-generation parenteral cephalosporin with broad-spectrum activity against Gram-positive pathogens - such as S. aureus (including MRSA), Streptococcus pneumoniae and Streptococcus pyogenes - and typical Gram-negative pathogens, including Haemophilus influenzae and Moraxella catarrhalis. The approval of ceftaroline fosamil in the United States and Europe for the treatment of adults with moderate-to-severe CAP was based on two phase 3 trials (FOCUS 1 and 2), which demonstrated that ceftaroline fosamil was non-inferior to ceftriaxone, a standard empiric treatment for CAP, while exhibiting a comparable safety profile. Although head-to-head trials of ceftaroline fosamil versus comparators against MRSA CAP are lacking, the effectiveness of ceftaroline fosamil in subpopulations of patients not covered by phase 3 trials (e.g. those with MRSA CAP or severe renal impairment) has been demonstrated in the Clinical Assessment Program and Teflaro Utilization Registry (CAPTURE) study. As ineffective empiric therapy is associated with adverse outcomes, including mortality and increased costs, ceftaroline fosamil, with its extended spectrum of activity, is an attractive alternative to standard antibiotic CAP regimens. SN - 1872-7913 UR - https://www.unboundmedicine.com/medline/citation/31404620/Ceftaroline_fosamil_as_a_potential_treatment_option_for_Staphylococcus_aureus_community_acquired_pneumonia_in_adults_ DB - PRIME DP - Unbound Medicine ER -