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严重脓毒症的抗菌治疗

Antimicrobial Treatment of Severe Sepsis.

作者信息

Zakhour Johnny, Sharara Sima L, Hindy Joya-Rita, Haddad Sara F, Kanj Souha S

机构信息

Division of Infectious Diseases, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon.

Department of Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.

出版信息

Antibiotics (Basel). 2022 Oct 18;11(10):1432. doi: 10.3390/antibiotics11101432.

Abstract

is a pathogen often encountered in a healthcare setting. It has consistently ranked among the most frequent pathogens seen in nosocomial infections, particularly bloodstream and respiratory tract infections. Aside from having intrinsic resistance to many antibiotics, it rapidly acquires resistance to novel agents. Given the high mortality of pseudomonal infections generally, and pseudomonal sepsis particularly, and with the rise of resistant strains, treatment can be very challenging for the clinician. In this paper, we will review the latest evidence for the optimal treatment of sepsis caused by susceptible as well as multidrug-resistant strains including the difficult to treat pathogens. We will also discuss the mode of drug infusion, indications for combination therapy, along with the proper dosing and duration of treatment for various conditions with a brief discussion of the use of non-antimicrobial agents.

摘要

是一种在医疗环境中经常遇到的病原体。它一直位列医院感染中最常见的病原体之列,尤其是血流感染和呼吸道感染。除了对许多抗生素具有内在耐药性外,它还能迅速获得对新型药物的耐药性。鉴于一般情况下假单胞菌感染的高死亡率,尤其是假单胞菌败血症,以及耐药菌株的增加,临床医生的治疗可能非常具有挑战性。在本文中,我们将综述针对由敏感以及耐多药菌株引起的败血症(包括难以治疗的病原体)的最佳治疗的最新证据。我们还将讨论药物输注方式、联合治疗的适应症,以及针对各种情况的适当给药剂量和治疗持续时间,并简要讨论非抗菌药物的使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f950/9598900/977e68d3bace/antibiotics-11-01432-sch001.jpg

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