Beta-lactam antibiotic temocillin now available in the UK
Temocillin (Negaban; Eumedica), an injectable beta-lactam antibiotic, is now available in the UK. It is indicated for the treatment of septicaemia, urinary tract infection and lower respiratory tract infection where susceptible gram-negative bacilli are suspected or confirmed.
Temocillin is active against most gram-negative bacteria, excluding Pseudomonas
aeruginosa and Acinetobacter spp. It is also active against multiresistant
gram-negative bacteria, including Enterobacteriaceae that produce extended
spectrum beta-lactamases (ESBL) and AmpC beta-lactamases, Enterobacter
aerogenes and Burkholderia cepacia. Temocillin is for administration
in hospital only and can be given by intravenous injection, intermittent
intravenous infusion or intramuscular injection at a dose of 1–2g
every 12 hours.
A study conducted last year by David Livermore, of the Health Protection
Agency, and colleagues concluded that temocillin deserves consideration
as an alternative to carbapenems in infections — especially those
of the urinary tract — due to ESBL producers and other multi-resistant
gram-negative
bacteria.
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