PMID- 36369970 OWN - NLM STAT- MEDLINE DCOM- 20221223 LR - 20221223 IS - 1365-2710 (Electronic) IS - 0269-4727 (Linking) VI - 47 IP - 12 DP - 2022 Dec TI - Central nervous system adverse events of ceftazidime/avibactam: A retrospective study using Food and Drug Administration Adverse Event Reporting System. PG - 2369-2372 LID - 10.1111/jcpt.13796 [doi] AB - WHAT IS KNOWN AND OBJECTIVE: Many antibiotics are well known for being associated with adverse events (AEs) of central nervous system, ceftazidime/avibactam (CAZ/AVI) is a novel beta-lactam/beta-lactamase inhibitor combinations. In this commentary, we analyzed reports of nervous system disorders associated with CAZ/AVI, meropenem, imipenem, ceftazidime, ceftriaxone, and cefepime in the Food and Drug Administration (FDA) Adverse Event Reporting System database from January 2015 to March 2022. COMMENT: The reporting odds ratios (RORs) method was used to detect the safety signals. Up to 15.62% of CAZ/AVI AEs exhibit nervous system disorders associated with CAZ/AVI. A nervous system disorder signal was detected for CAZ/AVI compared with meropenem, ceftazidime, and ceftriaxone. Compared with meropenem, imipenem, ceftazidime, and ceftriaxone, encephalopathy, myoclonus, reported with CAZ/AVI exhibited significant RORs. WHAT IS NEW AND CONCLUSION: This study found that CAZ/AVI showed a relatively stronger sign nervous system disorder than meropenem, ceftazidime, and ceftriaxone in the real world. The poor clinical outcome of these events should attract clinical attention, especially for patients with older than 65 years old and long treatment courses. CI - (c) 2022 John Wiley & Sons Ltd. FAU - Guo, Xiaolong AU - Guo X AD - Department of Pharmacy, Beijing Friendship Hospital, Capital Medical University, Beijing, China. AD - Beijing Institute of Clinical Pharmacy, Beijing, China. AD - School of Pharmaceutical Sciences, Capital Medical University, Beijing, China. AD - Department of Pharmacy, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Guo, Mingxing AU - Guo M AD - Department of Pharmacy, Beijing Friendship Hospital, Capital Medical University, Beijing, China. FAU - Li, Jiyang AU - Li J AD - Department of Pharmacy, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Cui, Xiangli AU - Cui X AUID- ORCID: 0000-0002-2992-5205 AD - Department of Pharmacy, Beijing Friendship Hospital, Capital Medical University, Beijing, China. AD - Beijing Institute of Clinical Pharmacy, Beijing, China. LA - eng PT - Journal Article DEP - 20221112 PL - England TA - J Clin Pharm Ther JT - Journal of clinical pharmacy and therapeutics JID - 8704308 RN - 9M416Z9QNR (Ceftazidime) RN - FV9J3JU8B1 (Meropenem) RN - 7352665165 (avibactam) RN - 75J73V1629 (Ceftriaxone) RN - 0 (Anti-Bacterial Agents) RN - 71OTZ9ZE0A (Imipenem) RN - 0 (Drug Combinations) SB - IM MH - United States MH - Humans MH - Aged MH - *Ceftazidime/adverse effects MH - Meropenem/therapeutic use MH - Retrospective Studies MH - *Ceftriaxone MH - United States Food and Drug Administration MH - Anti-Bacterial Agents/therapeutic use MH - Imipenem MH - Drug Combinations MH - Central Nervous System MH - Microbial Sensitivity Tests OTO - NOTNLM OT - FAERS OT - ceftazidime/avibactam OT - central nervous system OT - signal detection EDAT- 2022/11/13 06:00 MHDA- 2022/12/24 06:00 CRDT- 2022/11/12 04:12 PHST- 2022/10/10 00:00 [revised] PHST- 2022/08/02 00:00 [received] PHST- 2022/10/18 00:00 [accepted] PHST- 2022/11/13 06:00 [pubmed] PHST- 2022/12/24 06:00 [medline] PHST- 2022/11/12 04:12 [entrez] AID - 10.1111/jcpt.13796 [doi] PST - ppublish SO - J Clin Pharm Ther. 2022 Dec;47(12):2369-2372. doi: 10.1111/jcpt.13796. Epub 2022 Nov 12.