Can Drug Repurposing be Effective Against Carbapenem-Resistant Acinetobacter baumannii?

Curr Microbiol. 2021 Dec 14;79(1):13. doi: 10.1007/s00284-021-02693-5.

Abstract

Carbapenem-resistant Acinetobacter baumannii has been classified as a top priority for the development of new therapies due to its resistance to most antibiotics. Drug repurposing may be a fast and inexpensive strategy for treating this pathogen. This review aims to critically evaluate repurposed drugs for the treatment of infections caused by carbapenem-resistant A. baumannii, correlating their antimicrobial activity with data available for toxicity and side effects. Some drugs have been suggested as promising candidates for repurposing; however, in some cases, high toxicity and low plasma concentrations reduce applicability in clinical practice. The most favorable applicability is offered by fusidic acid and colistin, possibly combined with a third agent, promising to be well tolerated and achieving satisfactory plasma concentrations.

Publication types

  • Review

MeSH terms

  • Acinetobacter Infections* / drug therapy
  • Acinetobacter baumannii*
  • Anti-Bacterial Agents / pharmacology
  • Carbapenems / pharmacology
  • Colistin / pharmacology
  • Drug Repositioning
  • Drug Resistance, Multiple, Bacterial
  • Humans
  • Microbial Sensitivity Tests

Substances

  • Anti-Bacterial Agents
  • Carbapenems
  • Colistin