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治疗多重耐药革兰氏阴性菌感染的选择:临床实践指南。

Treatment options for infections caused by multidrug-resistant Gram-negative bacteria: a guide to good clinical practice.

机构信息

Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, 1417614411, Iran.

Research Center for Antibiotic Stewardship & Antimicrobial Resistance, Imam Khomeini Hospital, Tehran, 1417614411, Iran.

出版信息

Future Microbiol. 2023 Mar;18:287-294. doi: 10.2217/fmb-2022-0160. Epub 2023 May 4.

Abstract

The rapid emergence of multidrug-resistant Gram-negative bacterial infections necessitates the development of new treatments or the repurposing of available antibiotics. Here, treatment options for treatment of these infections, recent guidelines and evidence are reviewed. Studies that included treatment options for infections caused by multidrug-resistant Gram-negative bacteria (Enterobacterales and nonfermenters), as well as extended-spectrum β-lactamase-producing and carbapenem-resistant bacteria, were considered. Potential agents for the treatment of these infections, considering type of microorganism, mechanism of resistant, source and severity of infection as well as pharmacotherapy considerations, are summarized.

摘要

多重耐药革兰氏阴性菌感染的迅速出现需要开发新的治疗方法或重新利用现有抗生素。本文回顾了这些感染的治疗选择、最近的指南和证据。研究纳入了治疗多重耐药革兰氏阴性菌(肠杆菌科和非发酵菌)感染以及产超广谱β-内酰胺酶和碳青霉烯类耐药菌感染的治疗选择。考虑到微生物类型、耐药机制、感染来源和严重程度以及药物治疗考虑因素,总结了这些感染的潜在治疗药物。

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