From: Ceftolozane/tazobactam for the treatment of bacteremia: a systematic literature review (SLR)
Author, year | Study design | Source | Pathogen type | Antibiotic resistance | Outcome definition | Time point | % (n/N) Reporting clinical cure or success |
---|---|---|---|---|---|---|---|
Case report and case series | |||||||
 Pezzi et al., 2019 [24] | Case report | Maternal sepsis (not further specified) | E. coli: 100%, K. pneumonia: 100%a | – | – | – | 100% (1/1) |
 Jones et al., 2020 [27] | Case report | – | Pseudomonas: 100% (not further specified), E. coli: 100% | – | Defined as symptom resolution at the end of therapy, which was defined as documented subjective patient report of no complaints, distress, or disease-specific signs and/ or symptoms at follow-up outpatient physician clinic visits | – | 100% (1/1) |
 Sacha et al., 2017 [28] | Case series | Mixed infections: pneumonia, intra-abdominal, skin and soft tissue, primary bacteremia, bone and joint infection, pleural space infections | – | MDR infection: 40.4%, XDR infection: 25%, PDR infection: NR | – | – | 77.8% (7/12)b |
Case-control study | |||||||
 Fernandez-Cruz et al., 2019 [29] | Case–control study | Bacteremia secondary n = 7, and primary n = 3 | Pseudomonas: 100% (not further specified) | MDR infection: 50%, XDR infection: 50% | – | 14 days | All patients: 80% (8/10)c,d Monotherapy: 75.0% (3/4)c Combination: 83.3% (5/6)c |
Retrospective cohort studies | |||||||
 Bassetti et al., 2019 [12] | Retrospective cohort | Mixed infections: nosocomial pneumonia, ABSSSI, cIAI, cUTI, bone infection and sepsis | Pseudomonas: 100% (not further specified) | – | Clinical cure or success was defined as complete resolution of clinical signs and symptoms related to P. aeruginosa infection and lack of microbiological evidence of infection | – | 70.4% (19/27) |
  Bassetti et al., 2019 [12] | Retrospective cohort | Mixed infections: nosocomial pneumonia, ABSSSI, cIAI, cUTI, bone infection and septic shock | Pseudomonas: 100% (not further specified) | – | Clinical cure or success was defined as complete resolution of clinical signs and symptoms related to P. aeruginosa infection and lack of microbiological evidence of infection | – | 91.7% (11/12) |
 Caston et al., 2017 [14] | Retrospective cohort | Overall mixed infections and sepsis/septic shock Mixed hospital-acquired infections: Abdominal (N = 3), Respiratory (N = 6), Otitis and mastoiditis (N = 1), Biliary (N = 1), Venous Central Catheter (N = 1) | Pseudomonas: 100% (not further specified) | MDR infection: 100% | Clinical outcome considered a "cure" when attending physician observed a resolution of signs and symptoms and there were no radiologic findings of infection | 30 days (after isolation of P. aeruginosa) | 75.0% (9/12) |
 Escola-Verge et al., 2018 [16] | Retrospective cohort | Mixed infections: lower respiratory tract, Soft tissue, Urinary tract, Bone, Intra-abdominal, BSI, Mediastinitis | Pseudomonas: 100% (not further specified), Enterobacter: 13.15%e | XDR infection: 100%f | Defined as resolution of signs and symptoms of the index infection at 90 days of follow-up | 90 days | 72.73% (8/11) |
 Jayakumar et al., 2018 [10] | Retrospective cohort | Mixed infections: Respiratory, Blood, Urinary, Tissue, Wound (patients could have more than one infection) | Pseudomonas: 95% (not further specified) • Polymicrobial Pseudomonas infection: Enterobacter (10%), Acinetobacter (10%), Providencia (5%), • Meningosepheum (5%), • Morganella (5%), • Candida (14%) K Pneumoniae: 5% | MDR infection: 86%, all patients with Pseudomonas infections) | Documented microbiological eradication or discharge within 30 days from last C/T dose without death | 30 days | 77.0% (17/22) |
30Â days | 57.0% (4/7)g | ||||||
30Â days | 87.0% (13/15)h | ||||||
 King et al., 2018 [11] | Retrospective cohort | Overall Mixed infections: pneumonia, UTI, intra-abdominal, wound | Pseudomonas: 100% (not further specified) | MDR infection: 100% | Defined by improved symptoms, improved imaging where relevant and fever reduction | – | 76.0% (19/25) |
 Xipell et al., 2018 [22] | Retrospective cohort | Overall Mixed infections: submandibular fasciitis or UTI and deep surgical-site infection | – | MDR infection: 17.39%, XDR infection: 79%, PDR infection: 4% | – | – | 50.0% (3/6)i |