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杜洛巴坦治疗多重耐药感染的系统评价

Durlobactam in the Treatment of Multidrug-Resistant Infections: A Systematic Review.

作者信息

Granata Guido, Taglietti Fabrizio, Schiavone Francesco, Petrosillo Nicola

机构信息

Clinical and Research Department for Infectious Diseases, National Institute for Infectious Diseases L. Spallanzani, IRCCS, 00149 Rome, Italy.

Divers and Raiders Group Command "Teseo Tesei" COMSUBIN, Medical Service, Italian Navy, 19025 Portovenere, Italy.

出版信息

J Clin Med. 2022 Jun 7;11(12):3258. doi: 10.3390/jcm11123258.

Abstract

is a frequent cause of difficult-to-treat healthcare-associated infections. The use of a novel beta-lactamase inhibitor, durlobactam, has been proposed against multidrug-resistant . A systematic review of studies assessing the efficacy and safety of durlobactam in the treatment of multidrug-resistant infections was carried out. The study protocol was pre-registered on PROSPERO (CRD42022311723). Published articles on durlobactam were identified through computerized literature searches with the search terms "durlobactam" and "ETX2514" using PubMed. PubMed was searched until 15 February 2022. Articles providing data on the main characteristics of durlobactam and on the efficacy and safety of durlobactam in the treatment of infections were included in this systematic review. Attempt was made to obtain information about unpublished studies. English language restriction was applied. The risk of bias in the included studies was not assessed. Both quantitative and qualitative information were summarized by means of textual descriptions. Thirty studies on durlobactam were identified, published from June 2017 to November 2020. Sixteen studies met the inclusion criteria. Durlobactam is effective against when used in combination with sulbactam. Future clinical trials are needed to confirm the possibility to treat infections caused by multidrug-resistant with this combination.

摘要

是治疗困难的医疗保健相关感染的常见原因。已提出使用新型β-内酰胺酶抑制剂度洛巴坦来对抗多重耐药菌。对评估度洛巴坦治疗多重耐药菌感染的疗效和安全性的研究进行了系统评价。该研究方案已在PROSPERO(CRD42022311723)上预先注册。通过使用PubMed以“度洛巴坦”和“ETX2514”为检索词进行计算机文献检索,确定了关于度洛巴坦的已发表文章。检索PubMed直至2022年2月15日。提供度洛巴坦主要特征以及度洛巴坦治疗感染的疗效和安全性数据的文章被纳入本系统评价。试图获取未发表研究的信息。应用了英语语言限制。未评估纳入研究的偏倚风险。通过文字描述对定量和定性信息进行了总结。确定了30项关于度洛巴坦的研究,发表于2017年6月至2020年11月。16项研究符合纳入标准。度洛巴坦与舒巴坦联合使用时对有效。未来需要进行临床试验以确认用这种联合疗法治疗多重耐药菌引起的感染的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2612/9225462/e6cfa6e342d0/jcm-11-03258-g001.jpg

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