Revisión clínica

Community-acquired pneumonia: Epidemiology, diagnosis, prognostic severity scales, and new therapeutic options

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Evaluation of new antibiotic drugs in severe community-acquired pneumonia.
DrogaClaseEspectroCaracterística especial
CeftarolineFifth-generation cephalosporinGram-positive, including Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis.Enterobacteriaceae (non-β-lactamase-, carbapenemase-, or AmpC-producing broad-spectrum β-lactamase).MRSA, multidrug-resistant Streptococcus pneumoniae; Staphylococcus resistant to glycopeptides, linezolid, and daptomycin. Ceftaroline is not active against non-fermenting gram-negative bacilli.
CeftobiproleFifth-generation cephalosporinGram-negative bacteria, including Pseudomonas aeruginosa and Enterobacteriaceae (ESBL negative), with the advantage of covering gram-positive bacteria (MRSA, penicillin-resistant Streptococcus pneumoniae, ampicillin-sensitive E. faecalis).The activity on other important pathogens (Acinetobacter spp., Stenotrophomonas maltophilia andBacteroides spp.) is limited
OmadacyclineTetracyclineBroad-spectrum activity against gram-positive and gram-negative aerobes and anaerobes, in addition to atypical bacteriaMethicillin-resistant Staphylococcus aureus (MRSA), multidrug-resistant Streptococcus pneumoniae, and vancomycin-resistant Enterococcus.
LefamuninPleuromutilinGram-positive and atypical organisms related to bacterial CAP (e.g., Streptococcus pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae, Legionella pneumophila, and Chlamydophila pneumoniae)Staphylococcus aureus (MRSA, vancomycin-intermediate and heterogeneous strains) and vancomycin-resistant Enterococcus.
SolithromycinFluroketolide (macrolide)Gram-positive, gram-negative, and atypical pathogens causing pneumoniaStreptococcus pneumoniae (especially strains resistant to microbes, fluoroquinolones, and penicillins), Haemophilus influenzae, and atypical pathogens causing pneumonia

CAP, community-acquired pneumonia; ESBL, extended-spectrum β-lactamase-producing enterobacteria. MRSA, methicillin-resistant Staphylococcus aureus.SCAP, severe community-acquired pneumonia..

Source: Prepared by the authors.