Erfolgreicher Einsatz von Cefiderocol bei nosokomialer Pneumonie mit MDR P. aeruginosa unter Nierenersatztherapie
摘要
An 8‑year-old girl with pre-existing pulmonary illness, chronic kidney disease and known colonization with multidrug-resistant Pseudomonas aeruginosa developed severe nosocomial pneumonia requiring mechanical ventilation. Due to the variable resistance patterns of previously cultured Pseudomonas isolates, cefiderocol was used as an off-label treatment following confirmed susceptibility testing of the strain isolated from tracheal secretions. The patient showed a rapid clinical and biochemical response during treatment, which was administered in parallel with continuous veno-venous hemofiltration (CVVH).