Ceftaroline
Results suggest that the antibacterial activity of both ceftaroline and vancomycin are similar in the treatment of MRSA meningitis in an experimental rabbit meningitis model. 1).
Roujansky et al. observed than even in the case of mild meningeal inflammation, ceftaroline penetration in CSF, although moderate, enabled efficient bacterial clearance and clinical efficacy, in adjunction to correct ventriculoperitoneal shunt management. 2).
3: Chen CW, Chang SP, Huang HT, Tang HJ, Lai CC. The efficacy and safety of ceftaroline in the treatment of acute bacterial infection in pediatric patients - a systemic review and meta-analysis of randomized controlled trials. Infect Drug Resist. 2019 May 15;12:1303-1310. doi: 10.2147/IDR.S199978. PMID: 31190919; PMCID: PMC6526920.
4: Ebot J, Freeman WD, Wharen R, Diaz MA, Libertin C. MRSA Spinal Epidural Abscess as a Neurosurgical and Infectious Disease Emergency with Unresolved Antimicrobial Solution. Case Rep Infect Dis. 2019 Jan 30;2019:7413089. doi: 10.1155/2019/7413089. PMID: 30838147; PMCID: PMC6374787.
5: Chauzy A, Nadji A, Combes JC, Defrance N, Bouhemad B, Couet W, Chavanet P. Cerebrospinal fluid pharmacokinetics of ceftaroline in neurosurgical patients with an external ventricular drain. J Antimicrob Chemother. 2019 Mar 1;74(3):675-681. doi: 10.1093/jac/dky489. PMID: 30535190.
6: Stein GE, Yasin F, Smith C, Scharmen A, Havlichek D, Bill C. A pharmacokinetic/pharmacodynamic analysis of ceftaroline prophylaxis in patients with external ventricular drains. Surg Infect (Larchmt). 2015 Apr;16(2):169-73. doi: 10.1089/sur.2014.098. Epub 2015 Mar 31. PMID: 25826463.
7: Kuriakose SS, Rabbat M, Gallagher JC. Ceftaroline CSF concentrations in a patient with ventriculoperitoneal shunt-related meningitis. J Antimicrob Chemother. 2015 Mar;70(3):953-4. doi: 10.1093/jac/dku464. Epub 2014 Nov 23. PMID: 25422288.
8: Bucheit J, Collins R, Joshi P. Methicillin-resistant Staphylococcus aureus epidural abscess treated with ceftaroline fosamil salvage therapy. Am J Health Syst Pharm. 2014 Jan 15;71(2):110-3. doi: 10.2146/ajhp130246. PMID: 24375602.