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2019年感染病周总结:临床感染病领域热点有哪些?

What's Hot in Clinical Infectious Diseases? 2019 IDWeek Summary.

作者信息

Moss Sean, Boucher Helen W

机构信息

Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center and Tufts University School of Medicine, Boston, Massachusetts, USA.

出版信息

Open Forum Infect Dis. 2020 Mar 23;7(4):ofaa104. doi: 10.1093/ofid/ofaa104. eCollection 2020 Apr.

DOI:10.1093/ofid/ofaa104
PMID:32352020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7180287/
Abstract

The year 2019 brought about a multitude of innovations in clinical infectious diseases. With the continued rise of antimicrobial resistance (AMR), advances in diagnostics and newly available antibiotics offer additional strategies for combating this threat, but the broken antibiotic market serves as an impediment to further developments. The IDSA and other stakeholders are working to create novel pull incentives to stabilize the pipeline. Ongoing needs include developing optimal stewardship practices, including by using narrow-spectrum antibiotics and shorter durations of therapy. In the area of solid organ transplantation, early data from transplanting Hepatitis C virus (HCV)-infected organs are encouraging and the American Society of Transplantation (AST) released new guidelines addressing several key issues. Lastly, 2019 saw a resurgence in Measles emphasizing the importance of vaccination.

摘要

2019年临床传染病领域出现了众多创新成果。随着抗菌药物耐药性(AMR)持续上升,诊断技术的进步和新出现的抗生素为应对这一威胁提供了更多策略,但抗生素市场的不景气阻碍了进一步的发展。美国感染病学会(IDSA)和其他利益相关者正在努力创造新的拉动激励措施,以稳定研发流程。当前的需求包括制定最佳管理措施,包括使用窄谱抗生素和缩短治疗疗程。在实体器官移植领域,移植丙型肝炎病毒(HCV)感染器官的早期数据令人鼓舞,美国移植学会(AST)发布了针对几个关键问题的新指南。最后,2019年麻疹疫情卷土重来,凸显了疫苗接种的重要性。

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Oral Lefamulin vs Moxifloxacin for Early Clinical Response Among Adults With Community-Acquired Bacterial Pneumonia: The LEAP 2 Randomized Clinical Trial.口服来法莫林与莫西沙星治疗社区获得性细菌性肺炎成人患者的早期临床反应:LEAP 2随机临床试验
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RESTORE-IMI 1: A Multicenter, Randomized, Double-blind Trial Comparing Efficacy and Safety of Imipenem/Relebactam vs Colistin Plus Imipenem in Patients With Imipenem-nonsusceptible Bacterial Infections.RESTORE-IMI 1 研究:一项比较亚胺培南/雷巴他定与多黏菌素 E 联合亚胺培南治疗对亚胺培南耐药的细菌感染患者的疗效和安全性的多中心、随机、双盲试验。
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Pre-emptive pangenotypic direct acting antiviral therapy in donor HCV-positive to recipient HCV-negative heart transplantation: an open-label study.肝移植受者为 HCV 阴性而供者为 HCV 阳性时预先使用泛基因型直接作用抗病毒药物治疗:一项开放标签研究。
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Duration of Antibiotic Therapy: Shorter Is Better.抗生素治疗疗程:越短越好。
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Open Forum Infect Dis. 2019 May 6;6(6):ofz216. doi: 10.1093/ofid/ofz216. eCollection 2019 Jun.
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Clin Transplant. 2019 Sep;33(9):e13642. doi: 10.1111/ctr.13642. Epub 2019 Jul 4.
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