
David Leslie Paterson, PhD, MBBS, reviews the Game Changer trial and evolving evidence showing that cefiderocol is a useful but pathogen-dependent option for gram-negative bloodstream infections—performing reasonably against Acinetobacter and Pseudomonas, but with clear limitations against NDM-producing metallo-β-lactamases—underscoring the growing role of rapid diagnostics, combination therapy, and agents such as aztreonam–avibactam in an increasingly complex resistance landscape.











