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加替沙星:美国治疗细菌感染的应用综述

Gatifloxacin: a review of its use in the treatment of bacterial infections in the US.

作者信息

Keam Susan J, Croom Katherine F, Keating Gillian M

机构信息

Adis International Limited, Auckland, New Zealand.

出版信息

Drugs. 2005;65(5):695-724. doi: 10.2165/00003495-200565050-00007.

Abstract

Gatifloxacin (Tequin) is an 8-methoxy fluoroquinolone approved in the US for use in the treatment of community-acquired pneumonia (CAP), acute exacerbations of chronic bronchitis (AECB), acute sinusitis, uncomplicated and complicated urinary tract infections (UTIs), pyelonephritis, gonorrhoea and uncomplicated skin and skin structure infections. Gatifloxacin has a broad spectrum of antibacterial activity in vitro and good clinical and bacteriological efficacy in patients with indicated infections following once-daily administration by the intravenous or oral routes. It is generally well tolerated; the most common adverse events are associated with the gastrointestinal tract and CNS. Recent approvals for the use of gatifloxacin in the treatment of CAP due to multidrug-resistant Streptococcus pneumoniae (MDRSP) and in uncomplicated skin and skin structure infections extend the role of this drug in the treatment of bacterial infections in the US.

摘要

加替沙星(泰利必妥)是一种8-甲氧基氟喹诺酮类药物,在美国被批准用于治疗社区获得性肺炎(CAP)、慢性支气管炎急性加重(AECB)、急性鼻窦炎、单纯性和复杂性尿路感染(UTI)、肾盂肾炎、淋病以及单纯性皮肤和皮肤结构感染。加替沙星在体外具有广泛的抗菌活性,对于经静脉或口服途径每日一次给药的指征性感染患者,具有良好的临床和细菌学疗效。它通常耐受性良好;最常见的不良事件与胃肠道和中枢神经系统有关。最近批准加替沙星用于治疗耐多药肺炎链球菌(MDRSP)所致的CAP以及单纯性皮肤和皮肤结构感染,扩大了该药物在美国细菌感染治疗中的作用。

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