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非结核分枝杆菌肺病的抗生素治疗

Antibiotic treatment for nontuberculous mycobacterial lung disease.

作者信息

Kang Young Ae, Koh Won-Jung

机构信息

a Division of Pulmonology, Department of Internal Medicine , Severance Hospital, Institute of Chest Diseases, Yonsei University College of Medicine , Seoul , South Korea.

b Division of Pulmonary and Critical Care Medicine, Department of Medicine , Samsung Medical Center, Sungkyunkwan University School of Medicine , Seoul , South Korea.

出版信息

Expert Rev Respir Med. 2016;10(5):557-68. doi: 10.1586/17476348.2016.1165611. Epub 2016 Mar 30.

Abstract

Pulmonary infections are the most frequent diseases caused by nontuberculous mycobacteria (NTM). Common causative organisms of pulmonary infection are slowly growing mycobacteria including Mycobacterium avium complex and Mycobacterium kansasii, and rapidly growing mycobacteria including Mycobacterium abscessus complex. Clinical concern has been raised over the increasing incidence of NTM lung disease combined with the poor treatment outcomes of these chronic infectious diseases. Since treatment guidelines of the American Thoracic Society/Infectious Disease Society of America were published in 2007 there have been continuous efforts to improve the outcomes of NTM lung disease, albeit slowly and with limitations. Here, we focus on recent advances in the antibiotic treatment of NTM lung disease.

摘要

肺部感染是由非结核分枝杆菌(NTM)引起的最常见疾病。肺部感染的常见病原体是生长缓慢的分枝杆菌,包括鸟分枝杆菌复合群和堪萨斯分枝杆菌,以及生长迅速的分枝杆菌,包括脓肿分枝杆菌复合群。NTM肺病发病率的上升以及这些慢性传染病较差的治疗效果引发了临床关注。自美国胸科学会/美国感染病学会的治疗指南于2007年发布以来,一直在不断努力改善NTM肺病的治疗效果,尽管进展缓慢且存在局限性。在此,我们重点关注NTM肺病抗生素治疗的最新进展。

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