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合理的方法来管理铜绿假单胞菌感染。

Rational approach in the management of Pseudomonas aeruginosa infections.

机构信息

Infectious Diseases Clinic, Department of Medicine, University of Udine and Azienda Sanitaria Universitaria Integrata, Udine, Italy.

Institute of Microbiology, University of Lausanne, Lausanne, Switzerland.

出版信息

Curr Opin Infect Dis. 2018 Dec;31(6):578-586. doi: 10.1097/QCO.0000000000000505.

Abstract

PURPOSE OF REVIEW

This review details the management of Pseudomonas aeruginosa infections covering both current and future treatment options that are and may be available for the clinicians.

RECENT FINDINGS

Pseudomonas aeruginosa infections are a great concern in hospital-acquired infections with very limited therapeutic options. The increasing antibiotic resistance has led to a need for different treatment choices that range from the use of new antibiotics to new nonantibiotic alternative agents to kill or disarm the pathogen.

SUMMARY

New molecules such as ceftolozane-tazobactam, ceftazidime-avibactam, and imipenem-relebactam have shown an adequate activity against P. aeruginosa, especially against multidrug resistance strains. Other nonantibiotic alternative treatments, such as antibodies, bacteriocins or phage therapy, have shown promising results, but future clinical studies are needed.

摘要

目的综述

本文详细介绍了铜绿假单胞菌感染的治疗方法,包括目前和未来可能为临床医生提供的治疗选择。

最近的发现

铜绿假单胞菌感染是医院获得性感染的一个严重问题,治疗选择非常有限。抗生素耐药性的不断增加导致需要不同的治疗选择,从使用新抗生素到新的非抗生素替代药物来杀死或削弱病原体。

总结

头孢他啶-阿维巴坦、头孢吡肟-他唑巴坦和亚胺培南-瑞来巴坦等新分子对铜绿假单胞菌具有足够的活性,特别是对多药耐药株。其他非抗生素替代治疗方法,如抗体、细菌素或噬菌体治疗,已显示出有希望的结果,但仍需要进一步的临床研究。

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