Antachopoulos Charalampos, Iosifidis Elias
From the 3rd Department of Pediatrics, Aristotle University School of Medicine, Hippokration General Hospital, Thessaloniki, Greece.
Pediatr Infect Dis J. 2017 Sep;36(9):905-907. doi: 10.1097/INF.0000000000001655.
Current evidence on the use of colistin in pediatric patients for infections caused by carbapenem-resistant bacteria is based on retrospective case series. The coadministration of colistin with other antimicrobial agents was associated with a relatively low rate of nephrotoxicity and a favorable outcome in >70% of these patients. Further study of colistin pharmacokinetics in children and neonates will likely lead to optimization of dosage recommendations.
目前关于儿科患者使用黏菌素治疗碳青霉烯类耐药菌感染的证据基于回顾性病例系列研究。黏菌素与其他抗菌药物联合使用时,肾毒性发生率相对较低,超过70%的此类患者预后良好。进一步研究儿童和新生儿的黏菌素药代动力学可能会优化剂量推荐。