What is the role of medications in the treatment of Acinetobacter infection?

Updated: Nov 27, 2018
  • Author: Shirin A Mazumder, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Owing to the propensity of Acinetobacter to develop resistance to antibiotics, current treatment strategies remain limited. Beta-lactam antibiotics are the preferred antibacterial choices for susceptible A baumannii infections. Because of increasing resistance, carbapenems have become an increasingly critical therapeutic option for Acinetobacter infections; however, carbapenem resistance rates for A baumannii have been rising dramatically, both in the United States and globally. [1] Minocycline may retain antimicrobial activity even against strains resistant to other tetracyclines (including tigecycline), although cross-resistance has been reported. [1] In cases of nonbacteremic drug-resistant Acinetobacter pneumonia, the addition of inhaled colistin can be considered. This approach may minimize toxicity and increase antibiotic delivery to the lung. [1]

A baumannii is intrinsically multidrug resistant. Relatively few antibiotics are active against this organism. [5, 6, 7] Avoid treating colonization, but infection should be treated.


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