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在加拿大如何使用头孢洛林酯:CLEAR 研究最终结果。

How is ceftobiprole used in Canada: the CLEAR study final results.

机构信息

Department of Medical Microbiology and Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.

Department of Pharmacy, Royal University Hospital, Saskatoon, Saskatchewan, Canada.

出版信息

Expert Rev Anti Infect Ther. 2024 Aug;22(8):681-688. doi: 10.1080/14787210.2024.2374280. Epub 2024 Jul 15.

DOI:10.1080/14787210.2024.2374280
PMID:39008122
Abstract

BACKGROUND

We report the final results of the clinical usage of ceftobiprole in patients in Canada from data in the national CLEAR (Canadian Le adership on Antimicrobial Real-Life Usage) registry.

RESEARCH DESIGN AND METHODS

The authors review the final data using the national ethics approved CLEAR study. Thereafter, the literature is surveyed regarding the usage of ceftobiprole to treat patients with infectious diseases via PubMed (up to March 2024).

RESULTS

In Canada, ceftobiprole is primarily used as directed therapy to treat a variety of severe infections caused by MRSA. It is primarily used in patients failing previous antimicrobials, is frequently added to daptomycin and/or vancomycin with high microbiological and clinical cure rates, along with an excellent safety profile. Several reports attest to the microbiological/clinical efficacy and safety of ceftobiprole. Ceftobiprole is also reported to be used empirically in select patients with community-acquired bacterial pneumonia (CABP), as well as hospital-acquired bacterial pneumonia (HABP).

CONCLUSIONS

In Canada, ceftobiprole is used mostly as directed therapy to treat a variety of severe infections caused by MRSA, in patients failing previous antimicrobials. It is frequently added to, and thus used in combination with daptomycin and/or vancomycin with high microbiological/clinical cure rates, and an excellent safety profile.

摘要

背景

我们报告了来自加拿大国家 CLEAR(加拿大抗菌药物真实使用领导地位)注册中心的数据中,在患者中使用头孢洛林的最终临床结果。

研究设计和方法

作者使用经国家伦理批准的 CLEAR 研究审查了最终数据。此后,作者通过 PubMed(截至 2024 年 3 月)检索了有关使用头孢洛林治疗传染病患者的文献。

结果

在加拿大,头孢洛林主要被用作治疗由 MRSA 引起的各种严重感染的定向治疗药物。它主要用于以前使用过抗菌药物治疗失败的患者,常与达托霉素和/或万古霉素联合使用,具有很高的微生物学和临床治愈率,同时具有良好的安全性。有几项报告证明了头孢洛林的微生物学/临床疗效和安全性。据报道,头孢洛林还被用于经验性治疗某些社区获得性细菌性肺炎(CABP)和医院获得性细菌性肺炎(HABP)患者。

结论

在加拿大,头孢洛林主要被用作定向治疗药物,用于治疗由 MRSA 引起的各种严重感染,用于治疗以前使用过抗菌药物治疗失败的患者。它常与达托霉素和/或万古霉素联合使用,具有很高的微生物学/临床治愈率和良好的安全性。

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