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Piperacillin/tazobactam in modern clinical practice

General practitioner, Infectious disease, Orthopaedic Trauma, Surgeon, The anesthesiologist and specialist on medical emergency conditions

Abstract: Piperacillin/tazobactam represents a combination of the ureidopenicillin and the β-lactamase inhibitor. The antibiotic is the drug of choice for the treatment of severe infections, primarily in surgical and intensive care units. The area of clinical use of piperacillin/tazobactam includes intra-abdominal infections, skin and soft tissues infections, late nosocomial pneumonias, including ones in the context of the covid-19 pandemic, and infections of other localizations.

The effectiveness of the intervention increases with intravenous administration of the drug by the method of prolonged infusions. A high susceptibility of most causative pathogens of wound infection to piperacillin/tazobactam has been established in Ukraine (with the exception of Klebsiella spp. and non-fermenting bacteria). The drug can be used in patients with a history of allergic reactions to β-lactams; preliminary allergological testing is indicated only in cases of allergy to aminopenicillins and aminocephalosporins. The first domestic piperacillin/tazobactam under the name Refex is registered on the Ukrainian market.

Key words: piperacillin/tazobactam, prolonged infusions, susceptibility to antibiotics, nosocomial pneumonias, Refex.

Authors:

I.G. Bereznyakov, Kharkov Medical Academy of Postgraduate Education

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