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硫酸头孢洛扎 + 他唑巴坦治疗医院获得性肺炎概述。

An overview of ceftolozane sulfate + tazobactam for treating hospital acquired pneumonia.

机构信息

Infectious Diseases Department, Hospital Universitari Vall d'Hebron, Autonomous University of Barcelona , Barcelona, Spain.

出版信息

Expert Opin Pharmacother. 2020 Jun;21(9):1005-1013. doi: 10.1080/14656566.2020.1739269. Epub 2020 Mar 26.

Abstract

INTRODUCTION

Ceftolozane-tazobactam is a combination of a new cephalosporin, with activity similar to that of ceftazidime, and a known inhibitor of beta-lactamases. This compound shows excellent activity against most gram-negative organisms causative of hospital-acquired pneumonia (HAP) or ventilator-acquired pneumonia (VAP), including extended spectrum beta-lactamase (ESBL)-producing Enterobacterales and multidrug-resistant (MDR) .

AREAS COVERED

This article reviews the spectrum of activity, the main pharmacokinetic and pharmacodynamic characteristics and the clinical efficacy and safety of ceftolozane-tazobactam in the treatment of HAP/VAP in adult patients.

EXPERT OPINION

The results of a randomized clinical trial have demonstrated an efficacy and safety profile of ceftolozane-tazobactam similar to that of its comparator for the treatment of patients with HAP/VAP. Several retrospective studies have shown good efficacy of the drug for the treatment of respiratory infections caused by MDR . The use of this drug may be incorporated as a new therapeutic option for the treatment of patients with HAP/VAP in a carbapenem-saving setting or as a therapeutic alternative with a better safety profile than other therapeutic options in patients with infections caused by MDR .

摘要

简介

头孢他洛酯-他唑巴坦是一种新型头孢菌素与β-内酰胺酶抑制剂的复方制剂,其活性类似于头孢他啶。该化合物对大多数引起医院获得性肺炎(HAP)或呼吸机相关性肺炎(VAP)的革兰氏阴性病原体具有出色的活性,包括产超广谱β-内酰胺酶(ESBL)的肠杆菌科和多药耐药(MDR)。

涵盖领域

本文综述了头孢他洛酯-他唑巴坦在治疗成人 HAP/VAP 中的活性范围、主要药代动力学和药效学特征以及临床疗效和安全性。

专家意见

一项随机临床试验的结果表明,头孢他洛酯-他唑巴坦的疗效和安全性与对照药物相当,可用于治疗 HAP/VAP 患者。几项回顾性研究表明,该药物对治疗 MDR 引起的呼吸道感染具有良好的疗效。在碳青霉烯类药物节约治疗环境下,或在治疗 MDR 感染患者时,其安全性优于其他治疗选择时,该药物可作为一种新的治疗选择纳入治疗 HAP/VAP 患者。

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