Volume 43, Issue 5 pp. 511-513
Case Report

Novel approach to the eradication of Pseudomonas aeruginosa in an infant with CF after outpatient treatment failure

Don Hayes Jr. MD

Corresponding Author

Don Hayes Jr. MD

Departments of Pediatrics and Internal Medicine, University of Kentucky College of Medicine, J410 Kentucky Clinic, 740 South Limestone Street, Lexington, Kentucky 40536

Departments of Pediatrics and Internal Medicine, University of Kentucky College of Medicine, J410 Kentucky Clinic, 740 South Limestone Street, Lexington, KY 40536.Search for more papers by this author
Jamshed F. Kanga MD

Jamshed F. Kanga MD

Department of Pediatrics, University of Kentucky College of Medicine, Lexington, Kentucky

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Michael I. Anstead MD

Michael I. Anstead MD

Departments of Pediatrics and Internal Medicine, University of Kentucky College of Medicine, J410 Kentucky Clinic, 740 South Limestone Street, Lexington, Kentucky 40536

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Robert J. Kuhn PharmD

Robert J. Kuhn PharmD

Department of Pharmacy Practice and Science, University of Kentucky College of Pharmacy, H-410 University of Kentucky Chandler Medical Center, University of Kentucky, Lexington, Kentucky

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First published: 26 March 2008
Citations: 12

There are no financial disclosures to report. There has been no financial support in preparation of this report. The authors have no commercial or proprietary interest in any drug, device, or equipment mentioned in this report.

Abstract

Intravenous continuous infusion of betalactam (CIBL) antibiotic and high dose extended interval (HDEI) aminoglycoside therapy theoretically maximize bacterial killing in treatment of Pseudomonas aeruginosa (PsA) in pulmonary exacerbations of cystic fibrosis (CF). We present the case of a 3-month-old female infant with CF who failed outpatient eradication of PsA with subsequent eradication using intravenous CIBL antibiotic and HDEI aminoglycoside therapy. This antibiotic combination should be considered in order to optimize pharmacodynamics for PsA eradication in CF patients before development of chronic colonization. Pediatr Pulmonol. 2008; 43:511–513. © 2008 Wiley-Liss, Inc.

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