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fidaxomicin 和其主要代谢产物 OP-1118 对艰难梭菌的抗生素后效应。

Postantibiotic effect of fidaxomicin and its major metabolite, OP-1118, against Clostridium difficile.

机构信息

Optimer Pharmaceuticals, Inc., 10110 Sorrento Valley Rd., Suite C, San Diego, CA 92121, USA.

出版信息

Antimicrob Agents Chemother. 2011 Sep;55(9):4427-9. doi: 10.1128/AAC.00104-11. Epub 2011 Jun 27.

DOI:10.1128/AAC.00104-11
PMID:21709084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3165303/
Abstract

Fidaxomicin (FDX), a narrow-spectrum antibiotic recently shown to be superior to vancomycin in providing sustained clinical response to Clostridium difficile infection, was investigated along with its major metabolite, OP-1118, with regard to their postantibiotic effects (PAE). FDX was found to have a prolonged PAE (10 h versus ATCC strains and 5.5 h versus a clinical isolate), and OP-1118's PAE was longer than that of the standard comparator, vancomycin (3 versus 0 to 1.5 h, respectively).

摘要

非达霉素(FDX)是一种窄谱抗生素,最近的研究表明,它在治疗艰难梭菌感染方面优于万古霉素,能提供持续的临床应答。本研究检测了 FDX 及其主要代谢产物 OP-1118 的抗生素后效应(PAE)。结果显示,FDX 的 PAE 较长(ATCC 株为 10 h,临床分离株为 5.5 h),而 OP-1118 的 PAE 长于标准对照药万古霉素(分别为 3 h 和 0-1.5 h)。

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本文引用的文献

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Fidaxomicin versus vancomycin for Clostridium difficile infection. fidaxomicin 与万古霉素治疗艰难梭菌感染。
N Engl J Med. 2011 Feb 3;364(5):422-31. doi: 10.1056/NEJMoa0910812.
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A new macrocyclic antibiotic, fidaxomicin (OPT-80), causes less alteration to the bowel microbiota of Clostridium difficile-infected patients than does vancomycin.一种新型大环抗生素,非达霉素(OPT-80),相较于万古霉素,引起艰难梭菌感染患者肠道微生物群改变更小。
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Fidaxomicin (OPT-80) for the treatment of Clostridium difficile infection. fidaxomicin (OPT-80) 治疗艰难梭菌感染。
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Clostridium difficile infection: new developments in epidemiology and pathogenesis.艰难梭菌感染:流行病学与发病机制的新进展
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OPT-80 eliminates Clostridium difficile and is sparing of bacteroides species during treatment of C. difficile infection.OPT-80可清除艰难梭菌,且在治疗艰难梭菌感染期间对拟杆菌属菌种无损害。
Antimicrob Agents Chemother. 2009 Jan;53(1):261-3. doi: 10.1128/AAC.01443-07. Epub 2008 Oct 27.
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In vitro activity of OPT-80 tested against clinical isolates of toxin-producing Clostridium difficile.OPT-80 针对产毒素艰难梭菌临床分离株的体外活性。
Antimicrob Agents Chemother. 2008 Nov;52(11):4163-5. doi: 10.1128/AAC.00476-08. Epub 2008 Aug 25.
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Safety, tolerance, and pharmacokinetic studies of OPT-80 in healthy volunteers following single and multiple oral doses.单次和多次口服给药后OPT-80在健康志愿者中的安全性、耐受性和药代动力学研究。
Antimicrob Agents Chemother. 2008 Apr;52(4):1391-5. doi: 10.1128/AAC.01045-07. Epub 2008 Feb 11.
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Pharmacodynamic studies of vancomycin, metronidazole and fusidic acid against Clostridium difficile.万古霉素、甲硝唑和夫西地酸对艰难梭菌的药效学研究。
Chemotherapy. 2007;53(4):267-74. doi: 10.1159/000104471. Epub 2007 Jun 25.
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In vitro activities of 15 antimicrobial agents against 110 toxigenic clostridium difficile clinical isolates collected from 1983 to 2004.1983年至2004年收集的110株产毒素艰难梭菌临床分离株对15种抗菌药物的体外活性
Antimicrob Agents Chemother. 2007 Aug;51(8):2716-9. doi: 10.1128/AAC.01623-06. Epub 2007 May 21.
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Alternative treatments for Clostridium difficile disease: what really works?艰难梭菌疾病的替代治疗方法:究竟哪些有效?
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