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头孢地尔在 CREDIBLE-CR 和 APEKS-NP 三期随机研究中治疗产金属β-内酰胺酶病原体感染。

Cefiderocol for the Treatment of Infections Due to Metallo-B-lactamase-Producing Pathogens in the CREDIBLE-CR and APEKS-NP Phase 3 Randomized Studies.

机构信息

Infection, Antimicrobials, Modelling, Evolution Research Center, Université de Paris (Paris-Diderot), UMR 1137, Paris, France.

Medical and Infectious Diseases Intensive Care Unit, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Bichat, Paris, France.

出版信息

Clin Infect Dis. 2022 Sep 29;75(6):1081-1084. doi: 10.1093/cid/ciac078.

Abstract

In the CREDIBLE-CR and APEKS-NP studies, cefiderocol treatment was effective against gram-negative bacteria producing metallo-B-lactamases; rates of clinical cure (70.8% [17/24]), microbiological eradication (58.3% [14/24]), and day 28 all-cause mortality (12.5% [3/24]) compared favorably with comparators of best-available therapy and high-dose meropenem (40.0% [4/10], 30.0% [3/10], and 50.0% [5/10], respectively).

摘要

在 CREDIBLE-CR 和 APEKS-NP 研究中,头孢地尔治疗产金属β-内酰胺酶的革兰氏阴性菌有效;临床治愈率(70.8%[17/24])、微生物清除率(58.3%[14/24])和 28 天全因死亡率(12.5%[3/24])与最佳可用治疗药物和高剂量美罗培南的对照药物相比具有优势(分别为 40.0%[4/10]、30.0%[3/10]和 50.0%[5/10])。

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