资源有限且抗菌药物耐药性高的环境中的抗菌治疗：基于病例的方法。
Antimicrobial therapy in resource-limited settings with high antimicrobial resistance: a case-based approach.
作者信息
Gupta Nitin
机构信息
Department of Infectious Diseases, Kasturba Medical College and Hospital, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
出版信息
Infez Med. 2022 Mar 1;30(1):73-79. doi: 10.53854/liim-3001-8. eCollection 2022.
Abstract
Choosing antimicrobial therapy in resource-limited settings is challenging because of the lack of advanced diagnostics and limited treatment options. Furthermore, since most international guidelines do not account for settings with high antimicrobial resistance, it is difficult for primary care physicians to choose the right antibiotic. This review, therefore, attempts to summarise the principles of antimicrobial therapy in such settings through six hypothetical case scenarios.
摘要
在资源有限的环境中选择抗菌治疗具有挑战性，因为缺乏先进的诊断方法且治疗选择有限。此外，由于大多数国际指南没有考虑到高抗菌药物耐药性的环境，初级保健医生很难选择正确的抗生素。因此，本综述试图通过六个假设病例场景总结此类环境中抗菌治疗的原则。
相似文献
1
Antimicrobial therapy in resource-limited settings with high antimicrobial resistance: a case-based approach.
Infez Med. 2022 Mar 1;30(1):73-79. doi: 10.53854/liim-3001-8. eCollection 2022.
3
Inappropriate Antibiotic Use in Zimbabwe in the COVID-19 Era: A Perfect Recipe for Antimicrobial Resistance.
Antibiotics (Basel). 2022 Feb 13;11(2):244. doi: 10.3390/antibiotics11020244.
4
Recommendations for Improving Antimicrobial Stewardship in Long-Term Care Settings Through Collaboration.
Infect Dis Clin North Am. 2020 Mar;34(1):129-143. doi: 10.1016/j.idc.2019.10.007.
5
Antimicrobial Stewardship Programs in Resource Constrained Environments: Understanding and Addressing the Need of the Systems.
Front Public Health. 2020 Apr 28;8:140. doi: 10.3389/fpubh.2020.00140. eCollection 2020.
6
Administration of a survey to evaluate the attitudes of house staff physicians towards antimicrobial resistance and the antimicrobial stewardship programme at a community teaching hospital.
J Glob Antimicrob Resist. 2016 Mar;4:21-27. doi: 10.1016/j.jgar.2016.01.004. Epub 2016 Feb 8.
7
Rationale and development of a business case for antimicrobial stewardship programs in acute care hospital settings.
Antimicrob Resist Infect Control. 2018 Aug 29;7:104. doi: 10.1186/s13756-018-0396-z. eCollection 2018.
8
Challenges and opportunities for antimicrobial stewardship in resource-rich and resource-limited countries.
Expert Rev Anti Infect Ther. 2019 Aug;17(8):621-634. doi: 10.1080/14787210.2019.1640602. Epub 2019 Jul 15.
9
Challenges in Implementing Antimicrobial Stewardship Programmes at Secondary Level Hospitals in India: An Exploratory Study.
Front Public Health. 2020 Sep 18;8:493904. doi: 10.3389/fpubh.2020.493904. eCollection 2020.
10
Impact of trainee-driven Antimicrobial Stewardship Program in a high burden resource-limited setting.
Infez Med. 2020 Sep 1;28(3):367-372.
引用本文的文献
1
Early organism identification by Matrix Assisted Laser Desorption Ionization Time of Flight Mass Spectrometry (MALDI-TOF-MS) decreases the time to appropriate antibiotic modifications for common bacterial infections.
Infez Med. 2024 Sep 1;32(3):330-339. doi: 10.53854/liim-3203-7. eCollection 2024.
2
Bacteriocins: potentials and prospects in health and agrifood systems.
Arch Microbiol. 2024 Apr 25;206(5):233. doi: 10.1007/s00203-024-03948-y.
3
Compliance with Antibiotic Prophylaxis in Obstetric and Gynecological Surgeries in Two Peruvian Hospitals.
Antibiotics (Basel). 2023 Apr 25;12(5):808. doi: 10.3390/antibiotics12050808.
本文引用的文献
1
Fosfomycin Vs Ciprofloxacin as Oral Step-Down Treatment for Escherichia coli Febrile Urinary Tract Infections in Women: A Randomized, Placebo-Controlled, Double-Blind, Multicenter Trial.
Clin Infect Dis. 2022 Aug 25;75(2):221-229. doi: 10.1093/cid/ciab934.
2
A diagnostic randomised controlled trial to study the impact of rapid diagnostic tests in patients with Acute febrile illness when compared to conventional diagnostics (DRACO study).
J Infect. 2021 Jun;82(6):e6-e8. doi: 10.1016/j.jinf.2021.04.001. Epub 2021 Apr 8.
3
Effectiveness of adjunctive clindamycin in β-lactam antibiotic-treated patients with invasive β-haemolytic streptococcal infections in US hospitals: a retrospective multicentre cohort study.
Lancet Infect Dis. 2021 May;21(5):697-710. doi: 10.1016/S1473-3099(20)30523-5. Epub 2020 Dec 14.
4
Nosocomial Infections: A History of Hospital-Acquired Infections.
Gastrointest Endosc Clin N Am. 2020 Oct;30(4):637-652. doi: 10.1016/j.giec.2020.06.001. Epub 2020 Jul 30.
5
Sepsis and septic shock: Guideline-based management.
Cleve Clin J Med. 2020 Jan;87(1):53-64. doi: 10.3949/ccjm.87a.18143. Epub 2020 Jan 2.
6
Carbapenem-resistant Acinetobacter baumannii: in pursuit of an effective treatment.
Clin Microbiol Infect. 2019 Aug;25(8):951-957. doi: 10.1016/j.cmi.2019.03.014. Epub 2019 Mar 23.
7
Effect of Piperacillin-Tazobactam vs Meropenem on 30-Day Mortality for Patients With E coli or Klebsiella pneumoniae Bloodstream Infection and Ceftriaxone Resistance: A Randomized Clinical Trial.
JAMA. 2018 Sep 11;320(10):984-994. doi: 10.1001/jama.2018.12163.
8
Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis.
N Engl J Med. 2019 Jan 31;380(5):415-424. doi: 10.1056/NEJMoa1808312. Epub 2018 Aug 28.
9
Antimicrobial Stewardship Programs: Principles and Practice.
Med Clin North Am. 2018 Sep;102(5):797-803. doi: 10.1016/j.mcna.2018.04.003. Epub 2018 Jun 15.
10
Comparison of Dual β-Lactam therapy to penicillin-aminoglycoside combination in treatment of Enterococcus faecalis infective endocarditis.
J Infect. 2018 Nov;77(5):398-404. doi: 10.1016/j.jinf.2018.06.013. Epub 2018 Jun 30.
Zotero 插件