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抗生素使用的新方法及近期获批抗菌药物综述

New Approaches to Antibiotic Use and Review of Recently Approved Antimicrobial Agents.

作者信息

Hahn Andrew W, Jain Rupali, Spach David H

机构信息

Division of Infectious Diseases, University of Washington School of Medicine, 1959 Northeast Pacific Street, Seattle, WA 98195, USA.

University of Washington School of Pharmacy, 1959 Northeast Pacific Street, Seattle, WA 98195, USA.

出版信息

Med Clin North Am. 2016 Jul;100(4):911-26. doi: 10.1016/j.mcna.2016.03.012. Epub 2016 Apr 16.

Abstract

Antimicrobial drug-resistance continues to force adaptation in our clinical practice. We explore new evidence regarding adjunctive antibiotic therapy for skin and soft tissue abscesses as well as duration of therapy for intra-abdominal abscesses. As new evidence refines optimal practice, it is essential to support clinicians in adopting practice patterns concordant with evidence-based guidelines. We review a simple approach that can 'nudge' clinicians towards concordant practices. Finally, the use of novel antimicrobials will play an increasingly important role in contemporary therapy. We review five new antimicrobials recently FDA-approved for use in drug-resistant infections: dalbavancin, oritavancin, ceftaroline, ceftolozane-tazobactam, and ceftazidime-avibactam.

摘要

抗菌药物耐药性持续迫使我们在临床实践中做出调整。我们探讨了关于皮肤和软组织脓肿辅助抗生素治疗以及腹腔内脓肿治疗时长的新证据。随着新证据完善最佳实践,支持临床医生采用与循证指南一致的实践模式至关重要。我们回顾一种能“推动”临床医生采用一致实践的简单方法。最后,新型抗菌药物在当代治疗中将发挥越来越重要的作用。我们回顾了美国食品药品监督管理局(FDA)近期批准用于耐药感染的五种新型抗菌药物:达巴万星、奥利万星、头孢洛林、头孢托罗 - 他唑巴坦和头孢他啶 - 阿维巴坦。

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