单疗法:主要原因是对化物耐药的Mycobacterium avium复杂疾病
Daniel Loewenstein1, Lars van Balveren1, Arthur Lemson2
1Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, the Netherlands.
Respiratory medicine
|July 22, 2023
概括
麦克罗利德单一治疗,通常是由于查不足,是难以治疗的抗麦克罗利德耐药Mycobacterium avium复合体 (MAC) 疾病的主要驱动因素. 预防需要改善查和遵守治疗指南.
科学领域:
- 医学微生物学 医学微生物学
- 传染性疾病 传染性疾病
- 抗微生物耐药性 抗微生物耐药性
背景情况:
- 耐麦克罗利德的Mycobacterium avium复合体 (MAC) 构成了一个重大的治疗挑战.
- 在MAC中,宏类耐药性的出现在很大程度上可以通过有针对性的查和治疗策略来预防.
研究的目的:
- 确定Mycobacterium avium复合体分离物中宏类耐药性的主要原因.
- 为预防在MAC疾病中发展宏类耐药性的策略提供信息.
主要方法:
- 在2019年3月至2022年3月期间,对16名患有抗宏化物抗性MAC分离物的患者进行了回顾性分析.
- 对临床咨询报告的审查,以确定导致宏类耐药性的病因因素.
主要成果:
- 麦克罗利德单一治疗,特别是在没有先前查的支气管或囊性纤维化患者中,是导致麦克罗利德耐药性的主要原因 (50%).
- 其他重要因素包括短期治疗时间,不合规的治疗方案和患者的不遵守.
结论:
- 在荷兰,不适当的查和随后的宏化物单一治疗是耐宏化物MAC疾病的最常见原因.
- 教育干预对于加强查实践和预防宏类抗药性至关重要.
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