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头孢他啶-阿维巴坦成功治疗一名儿科重症患者的KPC-MDR败血症性休克。

Successful treatment of KPC-MDR septic shock with ceftazidime-avibactam in a pediatric critically ill patient.

作者信息

Vargas Maria, Buonomo Antonio Riccardo, Buonanno Pasquale, Iacovazzo Carmine, Servillo Giuseppe

机构信息

Department of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University, Naples, Italy.

Department of Clinical Medicine and Surgery - Section of Infectious Diseases, University of Naples Federico II, Naples, Italy.

出版信息

IDCases. 2019 Sep 5;18:e00634. doi: 10.1016/j.idcr.2019.e00634. eCollection 2019.

DOI:10.1016/j.idcr.2019.e00634
PMID:31538046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6745432/
Abstract

Ceftazidime-avibactam is a combination agent consisting of the β-lactamase inhibitor avibactam and the broad-spectrum cephalosporin ceftazidime. There are no published case reports or studies evaluating the use of CAZ-AVI in pediatric critically ill patients. We report a case of a successful treatment of septic shock due to (KP) in a 14-years-old boy (body weight 50 kg) admitted in intensive care unit (ICU).

摘要

头孢他啶-阿维巴坦是一种由β-内酰胺酶抑制剂阿维巴坦和广谱头孢菌素头孢他啶组成的复方制剂。目前尚无已发表的病例报告或研究评估头孢他啶-阿维巴坦在儿科重症患者中的应用。我们报告了一例在重症监护病房(ICU)收治的14岁男孩(体重50千克)因肺炎克雷伯菌(KP)导致的感染性休克成功治疗的病例。

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Successful treatment of KPC-MDR septic shock with ceftazidime-avibactam in a pediatric critically ill patient.头孢他啶-阿维巴坦成功治疗一名儿科重症患者的KPC-MDR败血症性休克。
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Antibiotics (Basel). 2024 Jun 27;13(7):598. doi: 10.3390/antibiotics13070598.
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本文引用的文献

1
Pharmacokinetic Variability in Pediatrics and Intensive Care: Toward a Personalized Dosing Approach.儿科与重症监护中的药代动力学变异性:迈向个性化给药方法
J Pharm Pharm Sci. 2018;21(1):354-362. doi: 10.18433/jpps30082.
2
Ceftazidime-Avibactam Antimicrobial Activity and Spectrum When Tested Against Gram-negative Organisms From Pediatric Patients: Results From the INFORM Surveillance Program (United States, 2011-2015).头孢他啶-阿维巴坦的抗菌活性和谱在测试儿科患者的革兰氏阴性菌时的结果:来自 INFORM 监测计划(美国,2011-2015 年)。
Pediatr Infect Dis J. 2018 Jun;37(6):549-554. doi: 10.1097/INF.0000000000001859.
3
Molecular β-Lactamase Characterization of Aerobic Gram-Negative Pathogens Recovered from Patients Enrolled in the Ceftazidime-Avibactam Phase 3 Trials for Complicated Intra-abdominal Infections, with Efficacies Analyzed against Susceptible and Resistant Subsets.从参加头孢他啶-阿维巴坦治疗复杂性腹腔内感染3期试验的患者中分离出的需氧革兰氏阴性病原体的分子β-内酰胺酶特征,并针对敏感和耐药亚组分析疗效。
Antimicrob Agents Chemother. 2017 May 24;61(6). doi: 10.1128/AAC.02447-16. Print 2017 Jun.
4
Uncertainty in Antibiotic Dosing in Critically Ill Neonate and Pediatric Patients: Can Microsampling Provide the Answers?危重新生儿和儿科患者抗生素给药的不确定性:微量采样能否提供答案?
Clin Ther. 2016 Sep;38(9):1961-75. doi: 10.1016/j.clinthera.2016.07.093. Epub 2016 Aug 17.
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Phase I Study Assessing the Pharmacokinetic Profile, Safety, and Tolerability of a Single Dose of Ceftazidime-Avibactam in Hospitalized Pediatric Patients.评估单剂量头孢他啶-阿维巴坦在住院儿科患者中的药代动力学特征、安全性和耐受性的I期研究
Antimicrob Agents Chemother. 2016 Sep 23;60(10):6252-9. doi: 10.1128/AAC.00862-16. Print 2016 Oct.
6
Spotlight on ceftazidime/avibactam: a new option for MDR Gram-negative infections.头孢他啶/阿维巴坦聚焦:耐多药革兰氏阴性菌感染的新选择。
J Antimicrob Chemother. 2016 Oct;71(10):2713-22. doi: 10.1093/jac/dkw239. Epub 2016 Jul 17.
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A resurgence of β-lactamase inhibitor combinations effective against multidrug-resistant Gram-negative pathogens.β-内酰胺酶抑制剂复方制剂对抗多重耐药革兰氏阴性病原体的卷土重来。
Int J Antimicrob Agents. 2015 Nov;46(5):483-93. doi: 10.1016/j.ijantimicag.2015.08.011. Epub 2015 Sep 25.
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Ceftazidime-avibactam: a novel cephalosporin/β-lactamase inhibitor combination.头孢他啶-阿维巴坦:一种新型头孢菌素/β-内酰胺酶抑制剂复方制剂。
Drugs. 2013 Feb;73(2):159-77. doi: 10.1007/s40265-013-0013-7.
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Predictors of mortality in patients with bloodstream infections caused by KPC-producing Klebsiella pneumoniae and impact of appropriate antimicrobial treatment.产碳青霉烯酶肺炎克雷伯菌血流感染患者的死亡预测因素及恰当抗菌治疗的影响。
Clin Microbiol Infect. 2011 Dec;17(12):1798-803. doi: 10.1111/j.1469-0691.2011.03514.x. Epub 2011 May 20.