Sulbactam–durlobactam: a β-lactam/β-lactamase inhibitor combination targeting Acinetobacter baumannii

Research output: Contribution to journalReview articlepeer-review

Abstract

Sulbactam–durlobactam is a pathogen-targeted β-lactam/β-lactamase inhibitor combination that has been approved by the US FDA for the treatment of hospital-acquired and ventilator-associated bacterial pneumonia caused by susceptible isolates of Acinetobacter baumannii–calcoaceticus complex (ABC) in patients 18 years of age and older. Sulbactam is a penicillin derivative with antibacterial activity against Acinetobacter but is prone to hydrolysis by β-lactamases encoded by contemporary isolates. Durlobactam is a diazabicyclooctane β-lactamase inhibitor with activity against Ambler classes A, C and D serine β-lactamases that restores sulbactam activity both in vitro and in vivo against multidrug-resistant ABC. Sulbactam–durlobactam is a promising alternative therapy for the treatment of serious Acinetobacter infections, which can have high rates of mortality.

Original languageAmerican English
Pages (from-to)563-576
Number of pages14
JournalFuture Microbiology
Volume19
Issue number7
DOIs
StatePublished - 2024

ASJC Scopus subject areas

  • Microbiology
  • Microbiology (medical)

Keywords

  • Acinetobacter baumannii
  • carbapenem resistance
  • pneumonia
  • sulbactam–durlobactam
  • β-lactamase inhibitor

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