Faropenem, a Stable and Orally Bioavailable β-Lactam, to Counteract Resistant Pathogens and Infectious Diseases

Amit Bhalla
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Abstract

Antimicrobial resistance is a huge challenge for the effective prevention and treatment of infectious diseases worldwide. Community-onset infections with extended-spectrum β-lactamases (ESBL) producing bacteria are a challenge. In various studies, ESBL-producing isolates were consistently susceptible only to carbapenems. When treatment with other antibiotics fails, carbapenems are used as the last-line antibiotics for treating severe and/or resistant bacterial infections. In this narrative review, we aim to present the pharmacology of Faropenem, which is an orally administered penem antibiotic with a broad-spectrum activity against many Gram-positive and Gram-negative aerobes, and anaerobes. Faropenem is effective in the treatment of uncomplicated cystitis and is a potential solution to combat the emergence of resistance among respiratory tract pathogens. It is an alternative to fluoroquinolones or macrolides/ketolides when there is a concern with resistant pathogens.
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法罗培南:一种稳定的口服生物可利用β-内酰胺,用于抵抗耐药病原体和传染病
抗微生物药物耐药性是世界范围内有效预防和治疗传染病的巨大挑战。社区发生的广谱β-内酰胺酶(ESBL)产生细菌感染是一个挑战。在各种研究中,产生esbl的分离株始终只对碳青霉烯类敏感。当用其他抗生素治疗失败时,碳青霉烯类被用作治疗严重和/或耐药细菌感染的最后一线抗生素。在这篇叙述性综述中,我们的目的是介绍法罗培南的药物学,法罗培南是一种口服给药的培南抗生素,对许多革兰氏阳性和革兰氏阴性需氧菌和厌氧菌具有广谱活性。法罗培南在治疗无并发症的膀胱炎方面是有效的,并且是对抗呼吸道病原体耐药性出现的潜在解决方案。当涉及耐药病原体时,它是氟喹诺酮类药物或大环内酯类/酮类药物的替代品。
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