Department of Pediatrics, Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, USA.
Infect Dis Ther. 2013 Dec;2(2):95-110. doi: 10.1007/s40121-013-0010-x. Epub 2013 Aug 8.
Ceftaroline is a novel cephalosporin with a favorable tolerability profile and broad in vitro activity against many resistant Gram-positive and common Gram-negative organisms. Ceftaroline fosamil is the first cephalosporin to be approved by the United States Food and Drug Administration (FDA) for the treatment of adults with acute bacterial skin and soft tissue infections, including those caused by methicillin-resistant Staphylococcus aureus (MRSA). It is also approved by the FDA for the treatment of adults with community-acquired bacterial pneumonia, including cases caused by Streptococcus pneumoniae (with or without concurrent bacteremia), although there are no data at this time to support the use of ceftaroline fosamil for the treatment of pneumonia caused by MRSA. Ceftaroline fosamil is likewise approved by the European Commission for the treatment of adults with complicated skin and soft tissue infections or community-acquired pneumonia. This review summarizes the pharmacokinetic and microbiologic properties of ceftaroline, as well as the safety and efficacy data that led to its approval by the FDA in 2010 and the European Commission in 2012. Future directions to be addressed are also highlighted.
头孢洛林是一种新型头孢菌素,具有良好的耐受性,对许多耐药革兰阳性菌和常见革兰阴性菌具有广泛的体外活性。头孢洛林磷酸酯是第一种获得美国食品和药物管理局(FDA)批准用于治疗成人急性细菌性皮肤和软组织感染的头孢菌素,包括耐甲氧西林金黄色葡萄球菌(MRSA)引起的感染。它还被 FDA 批准用于治疗成人社区获得性细菌性肺炎,包括由肺炎链球菌(伴或不伴合并菌血症)引起的病例,尽管目前尚无数据支持头孢洛林磷酸酯用于治疗由 MRSA 引起的肺炎。头孢洛林磷酸酯同样被欧盟委员会批准用于治疗成人复杂性皮肤和软组织感染或社区获得性肺炎。这篇综述总结了头孢洛林的药代动力学和微生物学特性,以及安全性和疗效数据,这些数据导致其于 2010 年获得 FDA 批准,2012 年获得欧盟委员会批准。还强调了未来需要解决的方向。