Eravacycline, the first four years: health outcomes and tolerability data for 19 hospitals in 5 U.S. regions from 2018 to 2022

• Published in: Microbiology spectrum Vol. 12; no. 1; p. e0235123
• Main Authors: Kunz Coyne, Ashlan J, Alosaimy, Sara, Lucas, Kristen, Lagnf, Abdalhamid M, Morrisette, Taylor, Molina, Kyle C, DeKerlegand, Alaina, Schrack, Melanie Rae, Kang-Birken, S Lena, Hobbs, Athena L V, Agee, Jazmin, Perkins, 3rd, Nicholson B, Biagi, Mark, Pierce, Michael, Truong, James, Andrade, Justin, Bouchard, Jeannette, Gore, Tristan, King, Madeline A, Pullinger, Benjamin M, Claeys, Kimberly C, Herbin, Shelbye, Cosimi, Reese, Tart, Serina, Veve, Michael P, Jones, Bruce M, Rojas, Leonor M, Feehan, Amy K, Scipione, Marco R, Zhao, Jing J, Witucki, Paige, Rybak, Michael J
• Format: Journal Article
• Language: English
• Published: United States American Society for Microbiology 11-01-2024
• Subjects: Anti-Bacterial Agents - adverse effects; Antimicrobial Chemotherapy; antimicrobial stewardship; Drug Resistance, Multiple, Bacterial; eravacycline; Gram-Negative Bacteria; Humans; Microbial Sensitivity Tests; multidrug-resistant; Outcome Assessment, Health Care; Research Article; Retrospective Studies; Tetracyclines - pharmacology; Tetracyclines - therapeutic use; antimicrobial stewardship; eravacycline; multidrug-resistant
• ISSN: 2165-0497; 2165-0497
• DOI: 10.1128/spectrum.02351-23

The rise of multidrug-resistant (MDR) pathogens, especially MDR Gram-negatives, poses a significant challenge to clinicians and public health. These resilient bacteria have rendered many traditional antibiotics ineffective, underscoring the urgency for innovative therapeutic solutions. Eravacycline, a broad-spectrum fluorocycline tetracycline antibiotic approved by the FDA in 2018, emerges as a promising candidate, exhibiting potential against a diverse array of MDR bacteria, including Gram-negative, Gram-positive, anaerobic strains, and Mycobacterium. However, comprehensive data on its real-world application remain scarce. This retrospective cohort study, one of the largest of its kind, delves into the utilization of eravacycline across various infectious conditions in the USA during its initial 4 years post-FDA approval. Through assessing clinical, microbiological, and tolerability outcomes, the research offers pivotal insights into eravacycline's efficacy in addressing the pressing global challenge of MDR bacterial infections.