Bergogne-Berezin E
Service de Microbiologie, Hôpital Bichat, Paris.
Presse Med. 1990 Mar 3;19(8):373-7.
During the last 10 years antimicrobials have been produced in almost limitless numbers by the pharmaceutical industry, and some have been marketed. The main objectives of these new drugs were to overcome the ever expanding problems of bacterial resistance and to fill the gaps in the spectra of previous agents. These objectives are progressively reached by new B-lactams, penems and fluoroquinolones, while new oral cephalosporins are becoming available to general practitioners. To overcome toxicity problems new concepts in antibiotic usage, such as intermittent aminoglycoside regimens, have been suggested. Research in antibiotics, the discovery of new compounds or the re-evaluation of older drugs constitute dynamic trends in antibiotic therapy.
在过去十年中,制药行业生产了数量几乎无限的抗菌药物,其中一些已投放市场。这些新药的主要目标是克服不断扩大的细菌耐药性问题,并填补以往药物抗菌谱中的空白。新型β-内酰胺类、青霉烯类和氟喹诺酮类药物正逐步实现这些目标,同时新型口服头孢菌素也开始可供全科医生使用。为克服毒性问题,人们提出了抗生素使用的新概念,如间歇性氨基糖苷类用药方案。抗生素研究、新化合物的发现或对旧药的重新评估构成了抗生素治疗的动态趋势。