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A plain language summary of how lefamulin alone can be used to treat pneumonia caught outside of the hospital due to common bacterial causes, including drug-resistant bacteria.一种简单的语言总结,说明利福霉素单独使用如何治疗因常见细菌引起的医院外获得性肺炎,包括耐药菌。
Future Microbiol. 2022 Apr;17(6):397-410. doi: 10.2217/fmb-2021-0276. Epub 2022 Mar 14.
2
Lefamulin: A Novel Oral and Intravenous Pleuromutilin for the Treatment of Community-Acquired Bacterial Pneumonia.瑞马唑仑:一种用于治疗社区获得性细菌性肺炎的新型口服及静脉用截短侧耳素类药物。
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Pooled microbiological findings and efficacy outcomes by pathogen in adults with community-acquired bacterial pneumonia from the Lefamulin Evaluation Against Pneumonia (LEAP) 1 and LEAP 2 phase 3 trials of lefamulin versus moxifloxacin.来自利福霉素治疗社区获得性细菌性肺炎(LEAP)1 和 LEAP 2 期临床试验中利福霉素与莫西沙星比较的 pooled 微生物学发现和成人社区获得性细菌性肺炎的病原体的疗效结果。
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Lefamulin: A Novel Semisynthetic Pleuromutilin Antibiotic for Community-acquired Bacterial Pneumonia.利福霉素:一种新型半合成截短侧耳素抗生素,用于治疗社区获得性细菌性肺炎。
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Introduction: lefamulin and pharmacokinetic/pharmacodynamic rationale to support the dose selection of lefamulin.简介:来氟米特和药代动力学/药效学原理支持来氟米特的剂量选择。
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Leave it to Lefamulin: A Pleuromutilin Treatment Option in Community-Acquired Bacterial Pneumonia.留给他非达霉素:社区获得性细菌性肺炎的一种截短侧耳素类治疗选择。
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A Review of Newly Approved Antibiotic Treatment for Community-Acquired Bacterial Pneumonia: Lefamulin.社区获得性细菌性肺炎新批准的抗生素治疗综述:来法莫林
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Lefamulin: The First Systemic Pleuromutilin Antibiotic.利福霉素:首个系统应用的截短侧耳素类抗生素。
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Efficacy and Safety of Intravenous-to-oral Lefamulin, a Pleuromutilin Antibiotic, for the Treatment of Community-acquired Bacterial Pneumonia: The Phase III Lefamulin Evaluation Against Pneumonia (LEAP 1) Trial.截短侧耳素类抗生素静脉至口服给药的来法莫林治疗社区获得性细菌性肺炎的疗效和安全性:III期来法莫林抗肺炎评估(LEAP 1)试验
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7-Year (2015-21) longitudinal surveillance of lefamulin in vitro activity against bacterial pathogens collected worldwide from patients with respiratory tract infections including pneumonia and characterization of resistance mechanisms.7 年(2015-21 年)对来自全球呼吸道感染(包括肺炎)患者的细菌病原体进行 lefamulin 的体外活性的纵向监测,包括耐药机制的特征。
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引用本文的文献

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Retrospective analysis of the impact of pathogen spectrum and antibiotic resistance on the treatment efficacy of respiratory tract infections from 2012 to 2022.2012年至2022年病原体谱和抗生素耐药性对呼吸道感染治疗效果影响的回顾性分析
Am J Transl Res. 2025 Jan 15;17(1):480-488. doi: 10.62347/XZCT4326. eCollection 2025.
2
The Crisis of Macrolide Resistance in Pneumococci in Latin America.拉丁美洲肺炎球菌对大环内酯类抗生素耐药性危机
Am J Trop Med Hyg. 2024 Jul 30;111(4):756-764. doi: 10.4269/ajtmh.23-0913. Print 2024 Oct 2.

一种简单的语言总结,说明利福霉素单独使用如何治疗因常见细菌引起的医院外获得性肺炎,包括耐药菌。

A plain language summary of how lefamulin alone can be used to treat pneumonia caught outside of the hospital due to common bacterial causes, including drug-resistant bacteria.

机构信息

Nabriva Therapeutics GmbH, Vienna, Austria.

Department of Emergency Medicine & Division of Infectious Diseases, Olive View-UCLA Medical Center, Los Angeles, CA, USA.

出版信息

Future Microbiol. 2022 Apr;17(6):397-410. doi: 10.2217/fmb-2021-0276. Epub 2022 Mar 14.

DOI:10.2217/fmb-2021-0276
PMID:35285291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9096602/
Abstract

WHAT IS THIS SUMMARY ABOUT?: Bacterial pneumonia is an infection of the lung caused by bacteria that is potentially deadly, costly, and affects millions of people worldwide every year. Treatment is becoming more challenging-many current treatments no longer work well because some strains of bacteria that cause pneumonia have become resistant to current antibiotics. Many of the antibiotics that do still work have undesirable side effects. Therefore, new antibiotics that work differently are needed to treat bacterial pneumonia. Lefamulin (brand name, Xenleta) is an antibiotic that was approved to treat bacterial pneumonia caught outside a hospital (also called community-acquired bacterial pneumonia, or CABP) based on results of two clinical studies. In both studies, participants started treatment with lefamulin before the type of bacteria causing the infection was known. Lefamulin was well tolerated and worked well in 5 to 7 days to kill the bacteria causing the infection and to improve symptoms in almost all participants with CABP.

WHAT WERE THE RESULTS?: After the studies were completed, the researchers looked back at what kinds of bacteria were identified from the study participants. Lefamulin worked well to kill bacteria and to improve CABP symptoms for most kinds of infecting bacteria, including bacteria resistant to many current antibiotics.

WHAT DO THE RESULTS MEAN?: These results suggest that lefamulin, by itself, provides a much-needed treatment option for CABP that covers most of the key bacteria causing this infection.

摘要

这段摘要主要介绍了什么内容?细菌性肺炎是一种由细菌引起的肺部感染,具有潜在致命性、高花费的特点,且每年在全球范围内影响数百万人。治疗变得更具挑战性,因为目前许多治疗方法效果不佳,因为引起肺炎的一些细菌菌株已经对当前的抗生素产生了耐药性。许多仍在使用的抗生素具有不良副作用。因此,需要开发具有不同作用机制的新抗生素来治疗细菌性肺炎。 lefamulin(商品名 Xenleta)是一种抗生素,基于两项临床研究结果,被批准用于治疗医院外(也称为社区获得性细菌性肺炎,或 CABP)的细菌性肺炎。在这两项研究中,参与者在感染的细菌类型已知之前就开始接受 lefamulin 治疗。 lefamulin耐受性良好,在 5 到 7 天内可有效杀灭引起感染的细菌,并使大多数 CABP 参与者的症状得到改善。

研究结果如何?研究完成后,研究人员回顾了从研究参与者中鉴定出的细菌种类。lefamulin对大多数引起感染的细菌(包括对许多当前抗生素耐药的细菌)具有良好的杀菌作用和改善 CABP 症状的作用。

这些结果意味着什么?这些结果表明,lefamulin 本身为 CABP 提供了一种急需的治疗选择,可覆盖引起这种感染的大部分主要细菌。