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非达霉素治疗艰难梭菌感染的重症患者。

Fidaxomicin therapy in critically ill patients with Clostridium difficile infection.

作者信息

Penziner Samuel, Dubrovskaya Yanina, Press Robert, Safdar Amar

机构信息

New York University Langone Medical Center and New York University School of Medicine, New York, New York.

New York University Langone Medical Center and New York University School of Medicine, New York, New York

出版信息

Antimicrob Agents Chemother. 2015 Mar;59(3):1776-81. doi: 10.1128/AAC.04268-14. Epub 2014 Dec 22.

Abstract

Fidaxomicin use to treat proven Clostridium difficile infection (CDI) was compared between 20 patients receiving care in critical care units (CCUs) and 30 patients treated on general medical floors. At baseline, the CCU patients had more initial CDI episodes, more severe and complicated disease, and more concurrent broad-spectrum antibiotic coverage. On multivariate analysis, the response to fidaxomicin therapy among the critically ill patients was comparable to that among patients in the general medical wards.

摘要

在重症监护病房(CCU)接受治疗的20例患者与普通内科病房治疗的30例患者之间,比较了非达霉素用于治疗已确诊的艰难梭菌感染(CDI)的情况。基线时,CCU患者有更多的初始CDI发作、更严重和复杂的疾病以及更多的同时使用广谱抗生素覆盖。多变量分析显示,重症患者对非达霉素治疗的反应与普通内科病房患者相当。

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