引入针对多药耐药细菌的新抗生素:障碍和前进的道路
Thomas Tängdén1, Elena Carrara2, Mona Mustafa Hellou3
1Department of Medical Sciences, Section of Infectious Diseases, Uppsala University, Uppsala, Sweden.
概括
针对多药耐药 (MDR) 细菌的新抗生素面临证据缺口和不平等的获取机会. 需要改进全球战略,以获得更好的抗生素证据,可用性和管理,以打击耐药性.
科学领域:
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 抗生素研发管道最近批准了针对多药耐药 (MDR) 细菌的新抗生素.
- 尽管取得了这些进展,但支持其使用的证据基础和对优先MDR病原体的治疗指南存在重大差距.
研究的目的:
- 在批准时确定新抗生素试验中的证据缺口.
- 审查优先MDR细菌目前治疗指南中的局限性.
- 评估新抗生素的可用性,补偿策略和抗生素管理工作.
主要方法:
- 在PubMed中搜索了MDR细菌抗生素的3期随机对照试验,指南和出版物 (2013-2023年).
- 包括有关获取,使用,监管方面以及抗菌药物管理的研究.
- 审查了有关补偿和抗生素使用政策的政府和专业文件.
主要成果:
- 确定了关于试验群体,比较器,管理算法,非劣等性假设和耐药性发展的证据缺口.
- 强调了当前指导方针可能由于使用量增加而加速抗生素耐药性的风险.
- 揭示了全球新抗生素的可用性和获取方面的严重不平等.
结论:
- 抗生素耐药性构成了全球立即威胁.
- 系统和统一的战略在各个地区至关重要,以加强证据生成,可用性和合理使用新的广谱抗生素.
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