Response to inhaled ceftazidime in patients with non-cystic fibrosis bronchiectasis and chronic bronchial infection unrelated to Pseudomonas aeruginosa

Clin Respir J. 2022 Nov;16(11):768-773. doi: 10.1111/crj.13534. Epub 2022 Aug 26.

Abstract

Introduction: Inhaled antibiotics reduce the frequency of exacerbations. The objective was to assess the efficacy of inhaled ceftazidime in patients with non-cystic fibrosis bronchiectasis (NCFB) and concomitant chronic bronchial infection (CBI) caused by potentially pathogenic microorganisms (PPM) other than Pseudomonas aeruginosa (PA).

Material and method: Quasi-experimental study in 21 patients with exacerbations who developed CBI by a PPM other than PA.

Results: Bacterial infection was resolved in 85.7% patients. Rehospitalizations, length of hospital stay, moderate exacerbations and blood levels of CRP decreased significantly. In addition, SGRQ questionnaire also decreased more than 4 points in 57.1% of the patients.

Conclusion: The results suggest that inhaled ceftazidime in NCFB unrelated to PA is a plausible alternative to the standard therapies used in clinical practice.

Keywords: chronic bronchial infection unrelated to PA; inhaled ceftazidime; non-cystic fibrosis bronchiectasis.

MeSH terms

  • Administration, Inhalation
  • Anti-Bacterial Agents / therapeutic use
  • Bronchiectasis* / complications
  • Bronchitis, Chronic*
  • Ceftazidime / therapeutic use
  • Cystic Fibrosis* / complications
  • Cystic Fibrosis* / drug therapy
  • Fibrosis
  • Humans
  • Pseudomonas Infections* / complications
  • Pseudomonas Infections* / drug therapy
  • Pseudomonas aeruginosa

Substances

  • Ceftazidime
  • Anti-Bacterial Agents