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通过两项3期双盲试验的汇总分析,按严重程度衡量替加环素与利奈唑胺治疗急性细菌性皮肤及皮肤结构感染的临床反应

Clinical Response of Tedizolid versus Linezolid in Acute Bacterial Skin and Skin Structure Infections by Severity Measure Using a Pooled Analysis from Two Phase 3 Double-Blind Trials.

作者信息

Sandison Taylor, De Anda Carisa, Fang Edward, Das Anita F, Prokocimer Philippe

机构信息

Merck & Co., Inc., Kenilworth, New Jersey, USA.

Merck & Co., Inc., Kenilworth, New Jersey, USA

出版信息

Antimicrob Agents Chemother. 2017 Apr 24;61(5). doi: 10.1128/AAC.02687-16. Print 2017 May.

Abstract

Tedizolid phosphate is approved for the treatment of acute bacterial skin and skin structure infections (ABSSSI). In a pooled analysis of 1,333 ABSSSI patients from the ESTABLISH clinical trials, treatment with tedizolid or linezolid demonstrated similar early and posttherapy clinical responses in nonsevere and severe disease, irrespective of the parameters used to measure ABSSSI severity. Shorter 6-day treatment of ABSSSI, including those that were severe, with tedizolid phosphate demonstrated efficacy comparable to that of 10-day treatment with linezolid. (The ESTABLISH studies discussed in this paper have been registered at ClinicalTrials.gov under identifiers NCT01170221 and NCT01421511.).

摘要

磷酸泰地唑胺已被批准用于治疗急性细菌性皮肤及皮肤结构感染(ABSSSI)。在一项对来自ESTABLISH临床试验的1333例ABSSSI患者的汇总分析中,无论用于衡量ABSSSI严重程度的参数如何,使用泰地唑胺或利奈唑胺治疗在非重症和重症疾病中均显示出相似的早期和治疗后临床反应。使用磷酸泰地唑胺对ABSSSI进行为期6天的较短疗程治疗,包括重症患者,其疗效与使用利奈唑胺进行10天疗程治疗的疗效相当。(本文讨论的ESTABLISH研究已在ClinicalTrials.gov上注册,标识符为NCT01170221和NCT01421511。)

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