生物标志物在抗微生物药物管理中的作用:医生的观点
1Division of Infectious Diseases, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
The Korean journal of internal medicine
|May 8, 2024
概括
生物标志物如前素 (PCT) 和C反应蛋白 (CRP) 通过指导抗生素的启动和停止,有助于抗菌药物管理. 为了最佳的抗生素选择,需要对微生物生物标志物的进一步研究.
科学领域:
- 临床微生物学 临床微生物学
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 生物标志物对于有效的抗菌药物管理至关重要.
- 他们协助诊断细菌感染,指导抗生素治疗决策.
研究的目的:
- 审查生物标志物在抗微生物药物管理中的作用.
- 突出其在启动,继续或停止抗生素治疗中的应用.
- 讨论特定的生物标志物及其切割值.
主要方法:
- 在抗微生物药物管理中使用生物标志物的研究文献综述.
- 分析生物标志物在各种疾病如败血症,LRTI和COVID-19中的应用.
- 检查 prokalcitonin (PCT),C反应蛋白 (CRP),前素和IL-1β/IL-8的检查.
主要成果:
- 生物标志物为包括败血症,LRTI和COVID-19在内的疾病提供抗生素启动信息.
- 对于PCT (0.25-1.0 ng/mL) 和CRP (8-50 mg/L) 的切断值指导在败血症,LRTI和发烧性中性衰竭中停止使用抗生素.
- 生物标志物有效地补充了临床诊断.
结论:
- 生物标志物显著提高了抗微生物药物管理实践.
- 确定的切线值有助于对抗生素治疗的临床决策.
- 对微生物生物标记物的进一步研究对于精确的抗生素选择至关重要.
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