Which antibiotic combination is used to treat infections caused by Pseudomonas aeruginosa?

Study for the USMLE Step 2 CK Exam. Prepare with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

The selection of Cefepime, piperacillin-tazobactam (pip-tazo), and aztreonam for the treatment of infections caused by Pseudomonas aeruginosa is based on the efficacy of these antibiotics against this particular organism, which is known for its resistance to many antibiotics.

Cefepime is a fourth-generation cephalosporin that has a broad spectrum of activity, including coverage for Pseudomonas. It is often used in serious infections where pseudomonal coverage is required, such as in cases of pneumonia, sepsis, or urinary tract infections.

Piperacillin-tazobactam is a beta-lactam antibiotic that also provides effective coverage against Pseudomonas aeruginosa. The addition of tazobactam enhances its activity against beta-lactamase producing strains, which are common in Pseudomonas infections.

Aztreonam is a monobactam that specifically targets Gram-negative bacteria, including Pseudomonas. It is particularly useful in patients who are allergic to penicillin, as it has a low cross-reactivity with penicillins.

Using these three antibiotics together can provide a synergistic effect and broad coverage for severe infections suspected

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