严重感染的管理:耐多药和耐卡巴胺的格拉姆阴性细菌
Federico Perez1, Nadim G El Chakhtoura2, Robert A Bonomo3
1Geriatrics Research Education and Clinical Center, Louis Stokes Cleveland Department of Veterans Affairs, Cleveland, OH, USA; Department of Medicine, Division of Infectious Diseases, Case Western Reserve University, Cleveland, OH, USA; CWRU-Cleveland VAMC Center for Antimicrobial Resistance and Epidemiology (CARES), Case Western Reserve University, Cleveland, OH, USA.
本综述详细介绍了卡巴胺耐药机制和抗生素策略,用于严重的阴性细菌感染. 它概述了针对肠杆菌,青杆菌和伪菌的最佳治疗方法,重点关注新型抗生素剂.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 药理学 药理学是指药理学的学科.
背景情况:
- 耐卡巴尼姆的グラム阴性细菌 (CRGNB) 构成了严重的全球健康威胁.
- 像卡巴酶这样的抗药机制的出现需要更新治疗指南.
- 关键的CRGNB包括肠杆菌,青杆菌和 Pseudomonas aeruginosa.
研究的目的:
- 审查关键的格拉姆阴性病原体中的碳烯抗性机制.
- 为严重的CRGNB感染提供抗生素管理策略的概述.
- 为了突出治疗选择的最新进展.
主要方法:
- 关于碳烯抗性机制的文献综述.
- 对CRGNB感染的临床数据和治疗指南的分析.
- 综合有关新型抗生素及其应用的信息.
主要成果:
- 针对产生KPC,OXA-48和MBL的肠杆菌的特殊抗生素建议.
- 对Acinetobacter baumannii感染的首选和替代治疗方法.
- 适用于 Pseudomonas aeruginosa 感染的可行的治疗方案,包括为 MBL 生产者提供 cefiderocol.
结论:
- 有效管理CRGNB感染需要了解耐药性机制,并利用适当的,往往是新型的抗生素剂.
- 量身定制的抗生素选择对于优化患者结果至关重要.
- 对抗药性和新疗法的持续研究是必不可少的.
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