Clinical Research Center, Nagasaki University Hospital, Nagasaki, Japan.
Department of Respiratory Medicine, Nagasaki University Hospital, Nagasaki, Japan.
Medicine (Baltimore). 2023 Feb 22;102(8):e33092. doi: 10.1097/MD.0000000000033092.
Lascufloxacin hydrochloride (LSFX) is a quinolone antibiotic that inhibits DNA gyrase and topoisomerase IV of bacteria, it is anticipated to minimize antibiotic resistance in bacteria. It exhibits antibacterial activity against a relatively wide range of bacterial species, including anaerobic bacteria, and its efficacy and safety against community-acquired pneumonia have been shown; however, its efficacy and safety against nursing and healthcare associated pneumonia (NHCAP) have not been verified.
METHODS/DESIGN: Here, a single-arm, open-label, uncontrolled study was conducted in which LSFX was administered to patients with NHCAP at 24 facilities. The research subjects (77 cases) were orally administered 75 mg of LSFX once a day for 7 days. The primary endpoint was the clinical efficacy at the time of test of cure (TOC) (TOC; 5-10 days after the end of LSFX administration), while the secondary endpoints were the efficacy at the time of end of treatment, early clinical efficacy, microbiological efficacy at the time of TOC and end of treatment, and safety evaluation of LSFX.
NHCAP is a common pneumonia in clinical settings and a notable pneumonia whose mortality is high compared to community-acquired pneumonia. The present study showed the efficacy and safety of LSFX against NHCAP, which could lead to a larger number of therapeutic options for NHCAP.
盐酸拉氟沙星(LSFX)是一种喹诺酮类抗生素,可抑制细菌的 DNA 回旋酶和拓扑异构酶 IV,预计可最大限度减少细菌的抗生素耐药性。它对包括厌氧菌在内的多种细菌具有抗菌活性,其对社区获得性肺炎的疗效和安全性已得到证实;然而,其对护理和医疗保健相关性肺炎(NHCAP)的疗效和安全性尚未得到验证。
方法/设计:在这里,在 24 个机构中进行了一项单臂、开放标签、非对照研究,将 LSFX 用于 NHCAP 患者。研究对象(77 例)每天口服 LSFX 75mg,持续 7 天。主要终点是治疗测试时的临床疗效(TOC)(LSFX 给药结束后 5-10 天),次要终点是治疗结束时的疗效、早期临床疗效、TOC 和治疗结束时的微生物学疗效,以及 LSFX 的安全性评估。
NHCAP 是临床常见的肺炎,也是一种病死率高于社区获得性肺炎的显著肺炎。本研究显示了 LSFX 对 NHCAP 的疗效和安全性,这可能为 NHCAP 提供更多的治疗选择。