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meropenem/vaborbactam (Vabomere)

Indications: - complicated urinary tract infection in adults including pyelonephritis, caused by designated susceptible Enterobacteriaceae (Escherichia coli, Klebsiella pneumoniae, Enterobacter cloacae (FDA-approved 8/2017) [1] - ventilator-associated pneumonia (FDA-approved) [3] * superior to piperacillin tazobactam; 98% symptom-free & culture negative vs 94% [1,2] * noninferior to piperacillin tazobactam [2] Dosage: - 4 g (meropenem 2 g, vaborbactam 2 g) IV infusion over 3-hours every 8 hours (GFR > 50 mL/min per 1.73 m2) - up to 14 days of treatment Adverse effects: - most common: - headache, infusion site reactions, diarrhea. - serious: - allergic reactions, seizures

General

antibiotic combination

References

  1. Brooks M FDA OKs Vabomere, New Antibacterial for Complicated UTI Medscape - Aug 30, 2017. http://www.medscape.com/viewarticle/885026 - FDA News Release. Aug 29, 2017 FDA approves new antibacterial drug. https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm573955.htm - Windle ML. FDA New Drug and Biologic Approvals -- 2017 Year-in-Review Medscape - Jan 11, 2018. https://reference.medscape.com/viewarticle/890871 - U.S. Food and Drug Administration. Novel Drug Approvals for 2017. https://www.fda.gov/Drugs/DevelopmentApprovalProcess/DrugInnovation/ucm537040.htm
  2. Kaye KS, Bhowmick T, Metallidis S et al Effect of Meropenem-Vaborbactam vs Piperacillin-Tazobactam on Clinical Cure or Improvement and Microbial Eradication in Complicated Urinary Tract InfectionThe TANGO I Randomized Clinical Trial. JAMA. 2018;319(8):788-799. February 27, 2018 PMID: 29486041 https://jamanetwork.com/journals/jama/fullarticle/2673552
  3. Rapid Review Quiz: Hospital-Acquired Pneumonia Medscape. Sept 15, 2022 https://reference.medscape.com/viewarticle/980567
  4. VABOMERE Prescribing information http://www.vabomere.com/media/pdf/vabomere-us-prescribing-information.pdf

Components

meropenem (Merrem) vaborbactam