Trauma & major bleeding

Cefiderocol in Difficult-to-Treat non-fermenting Gram-negative bacteria (Nf-GNB) in ICU Settings

Ann Intensive CarePublished Matched cohort study

An erratum to this article was published (Ann Intensive Care, 24 May 2024 ↗)

Authors' conclusion

Cefiderocol did not show an improvement in clinical cure or mortality rates compared to BAT in the treatment of DTR Nf-GNB, but it was associated with a higher relapse rate.

Study context

Population
Adult ICU patients (9 ICUs incl. a burn ICU, 2019–2023) with difficult-to-treat resistance non-fermenting Gram-negative bacteria isolated from blood or lungs1:2 matched
Participants
27 vs 54
Exposure
Cefiderocol vs best available therapy
  • Cefiderocoln = 27
  • Best Available Therapy (BAT)n = 54reference
Outcome
Clinical cure
Follow-up
15 days
Methodological detailsmulticentre (9 ICUs), Four patients not exactly matched on ICU type
  • Multicentre (9 ICUs)
  • Four patients not exactly matched on ICU type

Main finding

As reported in the abstract

Clinical cure at 15 days
  • Clinical cure at 15 days comparable between groups
  • Matched cohort

Observational data: associations, not effects.

Secondary outcomes

OutcomeCefiderocolBATaOR (CI)
Relapse29.6%7.4%10.06 (1.96–51.53)

Clinical cure at 30 days and in-ICU mortality

Comparable between groups

Original publication

Cefiderocol in Difficult-to-Treat Nf-GNB in ICU Settings. Ann Intensive Care. Published 12 May 2024. doi:10.1186/s13613-024-01308-z

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