Antibiotic Treatment for Providencia rettgeri Infections
Antibiotic Options
- Ceftazidime-avibactam 2.5g IV q8h is recommended for complicated urinary tract infections caused by carbapenem-resistant Enterobacterales (CRE) according to the Journal of Microbiology, Immunology and Infection 1, 2
- Meropenem-vaborbactam 4g IV q8h or imipenem-cilastatin-relebactam 1.25g IV q6h are alternatives for CRE infections 2, 3
- Aminoglycosides can be effective for urinary tract infections caused by P. rettgeri, with single-dose aminoglycoside recommended for simple cystitis due to resistant strains 2, 4
- Plazomicin 15 mg/kg IV q12h is recommended for complicated UTI due to resistant Enterobacterales 2
Site-Specific Recommendations
- Ceftazidime-avibactam 2.5g IV q8h infused over 3 hours is recommended for carbapenem-resistant bloodstream infections 3
- For intra-abdominal infections caused by carbapenem-resistant strains, ceftazidime-avibactam 2.5g IV q8h in combination with metronidazole is recommended 2
- Tigecycline (100mg IV loading dose then 50mg IV q12h) or eravacycline (1mg/kg IV q12h) are alternatives for intra-abdominal infections 2
Carbapenem-Resistant P. rettgeri Management
- For severe infections with limited treatment options, combination therapy may be considered for carbapenem-resistant strains 3