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在恒化器模型中,模拟人血浆浓度的头孢地尔对耐碳青霉烯革兰氏阴性杆菌的活性。

Activities of Cefiderocol with Simulated Human Plasma Concentrations against Carbapenem-Resistant Gram-Negative Bacilli in an Chemostat Model.

作者信息

Matsumoto Shuhei, Kanazawa Sachi, Sato Takafumi, Yamano Yoshinori

机构信息

Business Development, Shionogi & Co., Ltd., Osaka, Japan

Drug Discovery & Disease Research Laboratory, Shionogi & Co., Ltd., Osaka, Japan.

出版信息

Antimicrob Agents Chemother. 2020 Oct 20;64(11). doi: 10.1128/AAC.01128-20.

DOI:10.1128/AAC.01128-20
PMID:32900685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7577172/
Abstract

Activities of cefiderocol under simulated human plasma concentrations at the recommended dosing regimen of 2 g every 8 h with a 3-h infusion were evaluated using an chemostat model. Against a total of 6 meropenem-resistant Gram-negative strains with cefiderocol MICs of 0.5 to 4 μg/ml, including metallo-β-lactamase producers and carbapenem-resistant , cefiderocol treatment showed a bactericidal effect within 8 h and sustained efficacy with no marked bacterial regrowth over 24 h.

摘要

使用恒化器模型评估了在每8小时2克、持续输注3小时的推荐给药方案下,模拟人体血浆浓度时头孢地尔的活性。针对总共6株对美罗培南耐药的革兰氏阴性菌,其头孢地尔最低抑菌浓度(MIC)为0.5至4微克/毫升,包括产金属β-内酰胺酶的菌株和耐碳青霉烯类菌株,头孢地尔治疗在8小时内显示出杀菌作用,并且在24小时内具有持续疗效,没有明显的细菌再生长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f13/7577172/69354cb8a458/AAC.01128-20-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f13/7577172/27bab2e4a4e7/AAC.01128-20-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f13/7577172/69354cb8a458/AAC.01128-20-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f13/7577172/27bab2e4a4e7/AAC.01128-20-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f13/7577172/69354cb8a458/AAC.01128-20-f0002.jpg

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本文引用的文献

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The Battle Is on: New Beta-Lactams for the Treatment of Multidrug-Resistant Gram-Negative Organisms.战斗正在进行:用于治疗多重耐药革兰氏阴性菌的新型β-内酰胺类药物
Curr Infect Dis Rep. 2020 Jan 13;22(1):1. doi: 10.1007/s11908-020-0710-9.
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Metallo-β-lactamase resistance in Enterobacteriaceae is an artefact of currently utilized antimicrobial susceptibility testing methods.肠杆菌科中的金属β-内酰胺酶耐药性是目前使用的抗菌药物敏感性测试方法的一个假象。
J Antimicrob Chemother. 2020 Apr 1;75(4):997-1005. doi: 10.1093/jac/dkz532.
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In Vitro Activity of Cefiderocol Against a Broad Range of Clinically Important Gram-negative Bacteria.
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