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新型联合疗法治疗广泛耐药性坏死性肺炎合并脓胸:一例报告

Novel Combination Therapy for Extensively Drug-Resistant Necrotizing Pneumonia Complicated by Empyema: A Case Report.

作者信息

Holger Dana J, Kunz Coyne Ashlan J, Zhao Jing J, Sandhu Avnish, Salimnia Hossein, Rybak Michael J

机构信息

Anti-Infective Research Laboratory, Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan, USA.

Department of Pharmacy, Harper University Hospital, Detroit Medical Center, Detroit, Michigan, USA.

出版信息

Open Forum Infect Dis. 2022 Mar 5;9(4):ofac092. doi: 10.1093/ofid/ofac092. eCollection 2022 Apr.

DOI:10.1093/ofid/ofac092
PMID:35350174
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8946682/
Abstract

We report our clinical and laboratory experience treating a 50-year-old patient who was critically ill with extensively drug-resistant necrotizing pneumonia complicated by empyema in Detroit, Michigan. A precision medicine approach using whole-genome sequencing, susceptibility testing, and synergy analysis guided the selection of rational combination antimicrobial therapy.

摘要

我们报告了我们对一名50岁患者的临床和实验室治疗经验,该患者在密歇根州底特律患有广泛耐药性坏死性肺炎并伴有脓胸,病情危急。采用全基因组测序、药敏试验和协同分析的精准医学方法指导了合理联合抗菌治疗的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af1d/8946682/9ef38a9f0f70/ofac092_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af1d/8946682/5e2d7221c886/ofac092_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af1d/8946682/9ef38a9f0f70/ofac092_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af1d/8946682/5e2d7221c886/ofac092_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af1d/8946682/9ef38a9f0f70/ofac092_fig2.jpg

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本文引用的文献

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Infectious Diseases Society of America Guidance on the Treatment of AmpC β-Lactamase-Producing Enterobacterales, Carbapenem-Resistant Acinetobacter baumannii, and Stenotrophomonas maltophilia Infections.美国传染病学会关于治疗产 AmpC β-内酰胺酶肠杆菌科、耐碳青霉烯类鲍曼不动杆菌和嗜麦芽窄食单胞菌感染的指南。
Clin Infect Dis. 2022 Jul 6;74(12):2089-2114. doi: 10.1093/cid/ciab1013.
2
Extensively Drug-Resistant Acinetobacter baumannii Nosocomial Pneumonia Successfully Treated with a Novel Antibiotic Combination.新型抗生素联合治疗广泛耐药鲍曼不动杆菌医院获得性肺炎的疗效观察。
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JAC Antimicrob Resist. 2025 Apr 12;7(2):dlaf055. doi: 10.1093/jacamr/dlaf055. eCollection 2025 Apr.
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The challenges of difficult-to-treat infections.难以治疗的感染所带来的挑战。
Clin Microbiol Rev. 2024 Dec 10;37(4):e0009324. doi: 10.1128/cmr.00093-24. Epub 2024 Nov 18.
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Treatment of infections caused by carbapenem-resistant .治疗耐碳青霉烯类抗生素的感染。
Front Cell Infect Microbiol. 2024 Jul 18;14:1395260. doi: 10.3389/fcimb.2024.1395260. eCollection 2024.
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