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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Sepsis management in the antimicrobial resistance era
Silvano Esposito1, Flora Salzano1, Tiziana Ascione2
1Unit of Infectious Diseases, Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", University of Salerno, Salerno, Italy.
Sepsis diagnosis and treatment are complicated by antibiotic resistance. This review covers sepsis epidemiology, biomarkers, rapid diagnostics for resistant organisms, and new antibiotics to improve survival.
Area of Science:
- Critical Care Medicine
- Infectious Diseases
- Microbiology
Background:
- Sepsis is a major global cause of mortality.
- Rising antibiotic resistance complicates sepsis management and diagnosis.
- Underlying conditions can reduce the reliability of traditional sepsis biomarkers.
Purpose of the Study:
- To review sepsis epidemiology and diagnostic biomarkers.
- To explore rapid identification methods for multidrug-resistant organisms (MDROs).
- To evaluate new antibiotics and therapeutic strategies for sepsis.
Main Methods:
- Comprehensive literature review of sepsis epidemiology.
- Analysis of current and emerging sepsis biomarkers.
- Evaluation of novel microbiological diagnostic techniques.
- Assessment of new antibiotic agents and immunomodulatory therapies.
Main Results:
- Timely diagnosis is critical, especially in septic shock.
- Novel diagnostic methods are needed for early MDRO detection.
- New antibiotics and targeted therapies show promise for improved outcomes.
Conclusions:
- Early and accurate sepsis diagnosis is essential for effective treatment.
- Advancements in diagnostics and therapeutics are crucial for combating sepsis and antibiotic resistance.
- Future strategies include rapid MDRO identification and innovative treatment approaches.
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