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黏菌素与黏菌素联合磷霉素治疗耐碳青霉烯类鲍曼不动杆菌感染的初步研究

Preliminary study of colistin versus colistin plus fosfomycin for treatment of carbapenem-resistant Acinetobacter baumannii infections.

作者信息

Sirijatuphat Rujipas, Thamlikitkul Visanu

机构信息

Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

出版信息

Antimicrob Agents Chemother. 2014 Sep;58(9):5598-601. doi: 10.1128/AAC.02435-13. Epub 2014 Jun 30.

Abstract

Ninety-four patients infected with carbapenem-resistant Acinetobacter baumannii were randomized to receive colistin alone or colistin plus fosfomycin for 7 to 14 days. The patients who received combination therapy had a significantly more favorable microbiological response and a trend toward more favorable clinical outcomes and lower mortality than those who received colistin alone. (This study has been registered at ClinicalTrials.gov under registration no. NCT01297894.).

摘要

94例感染耐碳青霉烯鲍曼不动杆菌的患者被随机分组,分别接受单独使用黏菌素或黏菌素联合磷霉素治疗7至14天。与单独接受黏菌素治疗的患者相比,接受联合治疗的患者有显著更有利的微生物学反应,且在临床结局改善和死亡率降低方面有一定趋势。(本研究已在ClinicalTrials.gov注册,注册号为NCT01297894。)

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