抗菌耐药领导小组:科学进展和未来方向
Henry F Chambers1, Heather R Cross2, Maria Souli2
1Division of Infectious Diseases, Department of Medicine, University of California -San Francisco, San Francisco, California, USA.
概括
抗菌耐药性领导小组 (ARLG) 通过创新的临床试验,如诊断的DOOR和MASTERMIND来推进患者护理. 他们还探索菌体疗法,并通过指导促进抗菌素耐药性研究.
科学领域:
- 传染性疾病 传染性疾病
- 临床研究 临床研究
- 抗微生物耐药性 抗微生物耐药性
背景情况:
- 抗菌耐药性领导小组 (ARLG) 解决了打击抗菌药物耐药性的关键挑战.
- 关键的研究领域包括格拉姆阳性感染,格拉姆阴性感染和诊断.
研究的目的:
- 提供ARLG对患者护理,临床试验设计和研究指导的贡献的概述.
- 概述抗菌素耐药性研究的未来优先事项.
主要方法:
- 开发了临床试验设计的结果可取性排名 (DOOR),评估好处和危害.
- 实施评估多种感染诊断的总协议 (MASTERMIND),用于同时进行诊断测试.
- 在囊性纤维化患者的细菌治疗随机试验的启动.
主要成果:
- DOOR已应用于观察性研究 (例如,万科米辛剂量,抗卡巴胺的肠细菌治疗) 并正在干预和注册试验中使用.
- 马斯特明德 (MASTERMIND) 能够有效地比较诺基诺耐药性尼塞利亚淋病和血液感染等感染的诊断平台.
- 一项新的试验正在进行中,以评估囊性纤维化中Pseudomonas aeruginosa的细菌治疗.
结论:
- 在临床试验和诊断方面,ARLG的创新方法对于推进患者护理和打击抗菌素耐药性至关重要.
- 一个强大的指导计划对于维持在抗菌素耐药性研究中的熟练劳动力至关重要.
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