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耐甲氧西林金黄色葡萄球菌引起的急性细菌性皮肤和皮肤结构感染(ABSSSI)的创新疗法:I 期和 II 期试验的进展。

Innovative therapies for acute bacterial skin and skin-structure infections (ABSSSI) caused by methicillin-resistant : advances in phase I and II trials.

机构信息

Infectious Diseases Unit, Ospedale Policlinico San Martino - IRCCS , Genoa, Italy.

Department of Health Sciences, University of Genoa , Genoa, Italy.

出版信息

Expert Opin Investig Drugs. 2020 May;29(5):495-506. doi: 10.1080/13543784.2020.1750595. Epub 2020 Apr 19.

Abstract

INTRODUCTION

Methicillin-resistant (MRSA) is among the most frequent causative agents of acute bacterial skin and skin-structure infections (ABSSSI) and has been associated with increased risks of invasive disease and of treatment failure.

AREAS COVERED

In this review, we focus on those novel anti-MRSA agents currently in phase I or II of clinical development that may enrich the armamentarium against ABSSSI caused by MRSA in the future.

EXPERT OPINION

Promising agents belonging to either old or novel antibiotic classes are currently in early phases of clinical development and may become available in the future for the effective treatment of ABSSSI caused by MRSA. In particular, the future availability of agents belonging to novel classes will be important for guaranteeing an effective treatment and for allowing outpatient treatment/early discharge, with a consequent reduced impact on healthcare resources. However, this does not mean that we can relax our efforts directed toward improving the responsible use of already available agents. Indeed, preserving their activity in the long term is crucial for optimizing the use of healthcare resources.

摘要

简介

耐甲氧西林金黄色葡萄球菌(MRSA)是急性细菌性皮肤和皮肤结构感染(ABSSSI)最常见的病原体之一,与侵袭性疾病和治疗失败的风险增加有关。

涵盖领域

在这篇综述中,我们重点关注目前处于临床开发 I 期或 II 期的新型抗 MRSA 药物,这些药物可能会在未来丰富治疗耐甲氧西林金黄色葡萄球菌引起的 ABSSSI 的手段。

专家意见

目前处于临床开发早期阶段的、属于旧的或新型抗生素类别的有前途的药物,未来可能会被用于有效治疗耐甲氧西林金黄色葡萄球菌引起的 ABSSSI。特别是,新型类别药物的未来可用性对于保证有效治疗和允许门诊治疗/提前出院非常重要,从而对医疗资源的影响也会相应减少。然而,这并不意味着我们可以放松对改善现有药物合理使用的努力。事实上,长期保持其活性对于优化医疗资源的使用至关重要。

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