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用于治疗重症监护病房患者严重感染的新型抗生素。

New antibiotics for the treatment of serious infections in intensive care unit patients.

机构信息

a Division of Infectious Diseases , " San Giuseppe Moscati" Hospital , Avellino , Italy.

b Division of Anesthesia and Pain Medicine , Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale , Naples , Italy.

出版信息

Curr Med Res Opin. 2019 Aug;35(8):1331-1334. doi: 10.1080/03007995.2019.1583025. Epub 2019 Mar 22.

Abstract

Nowadays, the infections of patients admitted to intensive care units (ICUs) are a major public health problem; this is due to several factors, in primis an increase in antibiotic resistance and the inappropriate use of antibiotics. We briefly focus on on both new antibiotics approved by the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA) in the last decade (2010-2019), and on agents in an advanced phase of development that have been developed, or are already approved, for the treatment of serious infections due to multidrug-resistant bacteria, both Gram-positive and Gram-negative bacteria. An adequate knowledge of the new antibiotics will reduce their inappropriate use with the consequent reduction in the onset of new resistance and decreasing health care costs. Antimicrobial stewardship programs to optimize antimicrobial prescribing and to preserve the effectiveness of the new antimicrobial agents are urgently needed'.

摘要

如今,重症监护病房(ICU)患者的感染是一个主要的公共卫生问题;这是由于多种因素造成的,首先是抗生素耐药性的增加和抗生素的不当使用。我们简要介绍了过去十年(2010-2019 年)获得美国食品和药物管理局(FDA)和欧洲药品管理局(EMA)批准的新抗生素,以及处于开发后期阶段的药物,这些药物已经开发出来,或已经被批准用于治疗由革兰氏阳性和革兰氏阴性细菌引起的严重感染的多药耐药菌。充分了解新抗生素将减少其不当使用,从而减少新耐药性的发生,并降低医疗保健成本。迫切需要制定抗菌药物管理计划,以优化抗菌药物的使用,并保持新抗菌药物的有效性。

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