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多粘菌素:应对新威胁的老牌抗生素

Polymyxins: older antibiotics for a new threat.

作者信息

Lee Su Young, Kuti Joseph L, Nicolau David P

机构信息

Center for Anti-Infective Research and Development, Hartford Hospital, USA.

出版信息

Conn Med. 2006 Jan;70(1):25-8.

PMID:16479873
Abstract

Polymyxin B and colistin have demonstrated reasonable success in infections due to multidrug-resistant A. baumannii and P. aeruginosa. Polymyxins are only recommended for highly selected cases of serious infections caused by gram-negative bacilli resistant to currently available antibiotics to avoid their potential toxicity. Pharmacodynamic studies are still needed to determine appropriate dosage regimens that will optimize effectiveness and minimize toxicity.

摘要

多黏菌素B和黏菌素已证明在治疗由多重耐药鲍曼不动杆菌和铜绿假单胞菌引起的感染方面取得了一定成功。多黏菌素仅推荐用于由对现有抗生素耐药的革兰氏阴性杆菌引起的高度特定严重感染病例,以避免其潜在毒性。仍需要进行药效学研究来确定合适的给药方案,以优化疗效并将毒性降至最低。

相似文献

1
Polymyxins: older antibiotics for a new threat.多粘菌素:应对新威胁的老牌抗生素
Conn Med. 2006 Jan;70(1):25-8.
2
Treatment options for multidrug-resistant nonfermenters.多重耐药非发酵菌的治疗选择。
Expert Rev Anti Infect Ther. 2010 Mar;8(3):303-15. doi: 10.1586/eri.09.125.
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In vitro activities of non-traditional antimicrobials alone or in combination against multidrug-resistant strains of Pseudomonas aeruginosa and Acinetobacter baumannii isolated from intensive care units.非传统抗菌药物单独或联合使用对从重症监护病房分离出的多重耐药铜绿假单胞菌和鲍曼不动杆菌菌株的体外活性。
Int J Antimicrob Agents. 2006 Mar;27(3):224-8. doi: 10.1016/j.ijantimicag.2005.10.012. Epub 2006 Feb 7.
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Efficacy and safety of colistin (colistimethate sodium) for therapy of infections caused by multidrug-resistant Pseudomonas aeruginosa and Acinetobacter baumannii in Siriraj Hospital, Bangkok, Thailand.黏菌素(多黏菌素甲磺酸钠)治疗泰国曼谷诗里拉吉医院耐多药铜绿假单胞菌和鲍曼不动杆菌所致感染的疗效与安全性
Int J Infect Dis. 2007 Sep;11(5):402-6. doi: 10.1016/j.ijid.2006.09.011. Epub 2007 Feb 8.
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Nebulized colistin in the treatment of pneumonia due to multidrug-resistant Acinetobacter baumannii and Pseudomonas aeruginosa.雾化多黏菌素治疗多重耐药鲍曼不动杆菌和铜绿假单胞菌所致肺炎
Clin Infect Dis. 2005 Sep 1;41(5):754-7. doi: 10.1086/432583. Epub 2005 Jul 20.
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[Colistin use in ventilator-associated pneumonia due to panresistant Pseudomonas aeruginosa and Acinetobacter baumannii].[多黏菌素在泛耐药铜绿假单胞菌和鲍曼不动杆菌所致呼吸机相关性肺炎中的应用]
Mikrobiyol Bul. 2009 Jan;43(1):61-70.
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New treatment options for infections caused by multiresistant strains of Pseudomonas aeruginosa and other nonfermenting gram-negative bacilli.耐多药铜绿假单胞菌和其他非发酵革兰阴性杆菌引起感染的新治疗选择。
Semin Respir Crit Care Med. 2011 Apr;32(2):151-8. doi: 10.1055/s-0031-1275527. Epub 2011 Apr 19.
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Multidrug-resistant Pseudomonas aeruginosa and Acinetobacter baumannii: resistance mechanisms and implications for therapy.多重耐药铜绿假单胞菌和鲍曼不动杆菌:耐药机制及治疗意义。
Expert Rev Anti Infect Ther. 2010 Jan;8(1):71-93. doi: 10.1586/eri.09.108.
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Pandrug-resistant Klebsiella pneumoniae, Pseudomonas aeruginosa and Acinetobacter baumannii infections: characteristics and outcome in a series of 28 patients.泛耐药肺炎克雷伯菌、铜绿假单胞菌和鲍曼不动杆菌感染:28例患者的特征及转归
Int J Antimicrob Agents. 2008 Nov;32(5):450-4. doi: 10.1016/j.ijantimicag.2008.05.016. Epub 2008 Sep 2.
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[Four years of monitoring of antibiotic sensitivity rates of Pseudomonas aeruginosa and Acinetobacter baumannii strains isolated from patients in intensive care unit and inpatient clinics].[对从重症监护病房和住院诊所患者中分离出的铜绿假单胞菌和鲍曼不动杆菌菌株的抗生素敏感性率进行四年监测]
Mikrobiyol Bul. 2008 Apr;42(2):321-9.

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Biofilm and metallo beta-lactamase production among the strains of Pseudomonas aeruginosa and Acinetobacter spp. at a Tertiary Care Hospital in Kathmandu, Nepal.尼泊尔加德满都一家三级护理医院的铜绿假单胞菌和不动杆菌属菌株的生物膜和金属β-内酰胺酶的产生。
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