抗生素治疗的持续时间:有或没有生物标志物?
Gonçalo Sequeira Guerreiro1, João Fustiga1, Pedro Póvoa1,2,3,4
1Department of Critical Care Medicine, Hospital de São Francisco Xavier, Unidade Local de Saúde de Lisboa Ocidental, Lisbon, Portugal.
Acute and critical care
|December 29, 2025
概括
抗菌素耐药性是全球卫生危机. 本综述探讨了优化抗生素治疗持续时间的策略,超越固定的疗程,基于细菌动力学和患者反应的个性化方法.
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.
- 微生物学 微生物学
背景情况:
- 抗菌素耐药性 (AMR) 构成了全球健康的重大威胁.
- 目前的抗生素处方实践显示出相当大的差异.
- 迫切需要基于证据的指导方针来优化抗生素的使用.
研究的目的:
- 审查细菌生长动力学和抗生素药理动力学.
- 探索各种策略,以确定最佳的抗菌药物治疗持续时间.
- 为了突出固定时间方案的局限性.
主要方法:
- 关于细菌生长动态的文献综述.
- 对抗生素药理动力学的分析.
- 检查不同的抗生素持续时间策略:固定的,生物标记指导的,基于临床过程的,双触发的.
主要成果:
- 细菌生长动力学和药理动力学影响治疗结果.
- 固定的治疗时间可能不适合所有感染.
- 以生物标志物为指导,基于临床疗程和双触发方法提供了个性化治疗持续时间的潜力.
结论:
- 优化抗菌药物治疗的持续时间对于对抗AMR至关重要.
- 需要根据细菌动力学和患者状况制定个性化策略.
- 进一步研究像双触发方法这样的新方法是有必要的.
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