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奥马环素治疗社区获得性感染:综述和专家观点。

Omadacycline in treating community-based infections: a review and expert perspective.

机构信息

Division of Host-Microbe Systems & Therapeutics, Center for Immunity, Infection & Inflammation, University of California-San Diego School of Medicine, La Jolla, CA, USA.

Sharp Rees-Stealy Medical Group and Sharp Memorial Hospital, San Diego, CA, USA.

出版信息

Expert Rev Anti Infect Ther. 2023 Mar;21(3):255-265. doi: 10.1080/14787210.2023.2174100. Epub 2023 Feb 6.

Abstract

INTRODUCTION

Omadacycline is approved for the treatment of community-acquired bacterial pneumonia (CABP) and acute bacterial skin and soft tissue infection (ABSSSI). The integration of newer agents into clinical use involves understanding the nuances of clinical decision-making. This review will provide an in-depth focus on omadacycline in clinical practice.

AREAS COVERED

Literature review of omadacycline utilizing PubMed was performed to provide a comprehensive evaluation of omadacycline pharmacology, microbiology, registrational Phase 3 clinical trials, and post-marketing clinical studies. In addition, the immunomodulatory and other attributes of tetracycline class of antibiotics, of which omadacycline is a member, are reviewed, introducing the concept of antibiotic selection with attention to the bacterial pathogen and human host relationship.

EXPERT OPINION

Omadacycline builds upon the favorable attributes of tetracycline antibiotics and provides very reliable empiric coverage for both and spp. Clinicians require a more robust understanding of antibiotics, including omadacycline, in order to optimize patient outcomes, streamline care, and reduce medical costs.

摘要

简介

奥马环素获批用于治疗社区获得性细菌性肺炎(CABP)和急性细菌性皮肤和软组织感染(ABSSSI)。将新型药物整合到临床应用中需要了解临床决策的细微差别。本综述将深入探讨奥马环素在临床实践中的应用。

涵盖领域

利用 PubMed 对奥马环素进行文献回顾,对奥马环素的药理学、微生物学、注册 3 期临床试验和上市后临床研究进行全面评估。此外,还回顾了四环素类抗生素(奥马环素是其中一种)的免疫调节和其他属性,引入了抗生素选择的概念,重点关注细菌病原体和人体宿主的关系。

专家意见

奥马环素在四环素类抗生素的有利属性基础上进一步发展,为 和 spp 提供了非常可靠的经验性覆盖。临床医生需要更深入地了解抗生素,包括奥马环素,以优化患者的治疗效果,简化治疗流程,并降低医疗成本。

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