PMID- 24341410 OWN - NLM STAT- MEDLINE DCOM- 20150911 LR - 20211021 IS - 1365-2125 (Electronic) IS - 0306-5251 (Print) IS - 0306-5251 (Linking) VI - 79 IP - 2 DP - 2015 Feb TI - The prevention and management of infections due to multidrug resistant organisms in haematology patients. PG - 195-207 LID - 10.1111/bcp.12310 [doi] AB - Infections due to resistant and multidrug resistant (MDR) organisms in haematology patients and haematopoietic stem cell transplant recipients are an increasingly complex problem of global concern. We outline the burden of illness and epidemiology of resistant organisms such as gram-negative pathogens, vancomycin-resistant Enterococcus faecium (VRE), and Clostridium difficile in haematology cohorts. Intervention strategies aimed at reducing the impact of these organisms are reviewed: infection prevention programmes, screening and fluoroquinolone prophylaxis. The role of newer therapies (e.g. linezolid, daptomycin and tigecycline) for treatment of resistant and MDR organisms in haematology populations is evaluated, in addition to the mobilization of older agents (e.g. colistin, pristinamycin and fosfomycin) and the potential benefit of combination regimens. CI - (c) 2013 The British Pharmacological Society. FAU - Trubiano, Jason A AU - Trubiano JA AD - Department of Infectious Diseases, Peter MacCallum Cancer Centre, East Melbourne, VIC. FAU - Worth, Leon J AU - Worth LJ FAU - Thursky, Karin A AU - Thursky KA FAU - Slavin, Monica A AU - Slavin MA LA - eng PT - Journal Article PT - Review PL - England TA - Br J Clin Pharmacol JT - British journal of clinical pharmacology JID - 7503323 RN - 0 (Anti-Bacterial Agents) SB - IM MH - Anti-Bacterial Agents/administration & dosage/*pharmacology MH - Antibiotic Prophylaxis/methods MH - Bacterial Infections/*drug therapy/microbiology/prevention & control MH - Cost of Illness MH - Drug Resistance, Multiple, Bacterial MH - Global Health MH - Hematologic Diseases/*complications MH - Hematopoietic Stem Cell Transplantation/methods MH - Humans PMC - PMC4309626 OTO - NOTNLM OT - fluoroquinolone prophylaxis OT - haematology OT - healthcare-associated infection OT - multiresistant gram negatives OT - vancomycin-resistant enterococci (VRE) EDAT- 2013/12/18 06:00 MHDA- 2015/09/12 06:00 PMCR- 2016/02/01 CRDT- 2013/12/18 06:00 PHST- 2013/10/28 00:00 [received] PHST- 2013/12/09 00:00 [accepted] PHST- 2013/12/18 06:00 [entrez] PHST- 2013/12/18 06:00 [pubmed] PHST- 2015/09/12 06:00 [medline] PHST- 2016/02/01 00:00 [pmc-release] AID - 10.1111/bcp.12310 [doi] PST - ppublish SO - Br J Clin Pharmacol. 2015 Feb;79(2):195-207. doi: 10.1111/bcp.12310.