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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Antimicrobial resistance in internal medicine wards
Francesco Menichetti1, Enrico Tagliaferri
1U.O.C. Malattie Infettive, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
Antimicrobial resistance poses a global threat, with limited treatment options for challenging pathogens like MRSA and VRE. This review covers recent trends and available therapies for multi-drug resistant bacterial infections.
Area of Science:
- Infectious Diseases
- Microbiology
- Pharmacology
Background:
- Antimicrobial resistance (AMR) is a critical global health issue impacting numerous bacterial pathogens.
- Key challenges include infections caused by methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae.
Purpose of the Study:
- To provide an overview of current epidemiological trends for major multi-drug resistant pathogens.
- To review the therapeutic options currently available for treating infections caused by these resistant bacteria.
Main Methods:
- Literature review of recent epidemiological data on multi-drug resistant pathogens.
- Analysis of current treatment guidelines and therapeutic strategies for infections caused by MRSA, VRE, ESBL-producers, Pseudomonas aeruginosa, and Acinetobacter baumannii.
Main Results:
- Significant global prevalence of multi-drug resistant bacterial infections.
- Limited and often challenging therapeutic choices for infections caused by pathogens like MRSA, VRE, and carbapenemase-producing Enterobacteriaceae.
Conclusions:
- Urgent need for updated therapeutic strategies to combat rising antimicrobial resistance.
- Continued surveillance and development of novel treatments are essential to manage multi-drug resistant bacterial infections effectively.
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