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感染治疗的最新进展:不断变化的指南。

Recent advances in the treatment of infection: the ever-changing guidelines.

作者信息

Khurana Shruti, Kahl Alyssa, Yu Kevin, DuPont Andrew W

机构信息

Department of Internal Medicine and Pediatrics, The University of Texas Health Science Center at Houston, Houston, TX, USA.

Department of Internal Medicine, Baylor College of Medicine, Houston, TX, USA.

出版信息

Fac Rev. 2020 Nov 18;9:13. doi: 10.12703/b/9-13. eCollection 2020.

Abstract

infection (CDI), formerly known as , continues to be the most common healthcare-associated infection worldwide. With the shifting epidemiology towards higher a incidence of community-acquired CDI and the continued burden on the healthcare system posed by high rates of CDI recurrence, there has been an impetus to advance the diagnostic testing and treatment strategies. Recent advancements over the past decade have led to rapidly changing guidelines issued by the Infectious Diseases Society of America and European Society of Clinical Microbiology and Infectious Diseases. With our comprehensive review, we aim to summarize the latest advances in diagnosing and treating CDI and thus attempt to help readers guide best practices for patient care. This article also focusses on cost-effectiveness of various therapies currently available on the market and provides an analysis of the current evidence on a relatively new monoclonal antibody therapy, Bezlotoxumab, to treat recurrent CDI.

摘要

艰难梭菌感染(CDI),以前称为 ,仍然是全球最常见的医疗保健相关感染。随着流行病学向社区获得性CDI发病率更高的方向转变,以及CDI高复发率对医疗保健系统持续造成的负担,推动了诊断检测和治疗策略的进步。过去十年的最新进展导致美国传染病学会和欧洲临床微生物学与传染病学会发布的指南迅速变化。通过我们的全面综述,我们旨在总结CDI诊断和治疗的最新进展,从而试图帮助读者指导患者护理的最佳实践。本文还关注目前市场上各种疗法的成本效益,并对一种相对较新的单克隆抗体疗法贝佐妥单抗治疗复发性CDI的现有证据进行分析。

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