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新的病原体正在出现,耐药性问题也随之而来。

New Agents Are Coming, and So Is the Resistance.

作者信息

Keck J Myles, Viteri Alina, Schultz Jacob, Fong Rebecca, Whitman Charles, Poush Madeline, Martin Marlee

机构信息

Department of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.

Independent Researcher, Thonotosassa, FL 33592, USA.

出版信息

Antibiotics (Basel). 2024 Jul 13;13(7):648. doi: 10.3390/antibiotics13070648.


DOI:10.3390/antibiotics13070648
PMID:39061330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11273847/
Abstract

Antimicrobial resistance is a global threat that requires urgent attention to slow the spread of resistant pathogens. The United States Centers for Disease Control and Prevention (CDC) has emphasized clinician-driven antimicrobial stewardship approaches including the reporting and proper documentation of antimicrobial usage and resistance. Additional efforts have targeted the development of new antimicrobial agents, but narrow profit margins have hindered manufacturers from investing in novel antimicrobials for clinical use and therefore the production of new antibiotics has decreased. In order to combat this, both antimicrobial drug discovery processes and healthcare reimbursement programs must be improved. Without action, this poses a high probability to culminate in a deadly post-antibiotic era. This review will highlight some of the global health challenges faced both today and in the future. Furthermore, the new Infectious Diseases Society of America (IDSA) guidelines for resistant Gram-negative pathogens will be discussed. This includes new antimicrobial agents which have gained or are likely to gain FDA approval. Emphasis will be placed on which human pathogens each of these agents cover, as well as how these new agents could be utilized in clinical practice.

摘要

抗菌药物耐药性是一个全球性威胁,需要紧急关注以减缓耐药病原体的传播。美国疾病控制与预防中心(CDC)强调了临床医生主导的抗菌药物管理方法,包括抗菌药物使用情况及耐药性的报告和妥善记录。其他努力则致力于开发新型抗菌药物,但微薄的利润率阻碍了制造商投资用于临床的新型抗菌药物,因此新抗生素的产量有所下降。为应对这一问题,抗菌药物研发流程和医疗报销计划都必须加以改进。若不采取行动,很有可能最终导致一个致命的后抗生素时代。本综述将重点介绍当今和未来面临的一些全球卫生挑战。此外,还将讨论美国传染病学会(IDSA)针对革兰氏阴性耐药病原体的新指南。这包括已获得或可能获得美国食品药品监督管理局(FDA)批准的新型抗菌药物。重点将放在这些药物分别覆盖哪些人类病原体,以及这些新型药物在临床实践中如何应用。

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本文引用的文献

[1]
Antibiotic Treatment of Carbapenem-Resistant Infections in View of the Newly Developed β-Lactams: A Narrative Review of the Existing Evidence.

Antibiotics (Basel). 2024-5-29

[2]
Treatment-emergent cefiderocol resistance in carbapenem-resistant is associated with insertion sequence IS in the siderophore receptor .

Antimicrob Agents Chemother. 2024-7-9

[3]
Molecular epidemiology and molecular typing methods of : An updated review.

Saudi Med J. 2024-5

[4]
Relative inhibitory activities of the broad-spectrum β-lactamase inhibitor xeruborbactam in comparison with taniborbactam against metallo-β-lactamases produced in and .

Antimicrob Agents Chemother. 2024-6-5

[5]
Adaptive resistance to cefiderocol in carbapenem-resistant (CRAB): Microbiological and clinical issues.

Heliyon. 2024-4-26

[6]
Rapid diagnostic test: a critical need for outbreak preparedness and response for high priority pathogens.

BMJ Glob Health. 2024-4-30

[7]
Assessing Clinician Utilization of Next-Generation Antibiotics Against Resistant Gram-Negative Infections in U.S. Hospitals : A Retrospective Cohort Study.

Ann Intern Med. 2024-5

[8]
activity of cefepime/taniborbactam and comparator agents against Gram-negative bacterial bloodstream pathogens recovered from patients with cancer.

JAC Antimicrob Resist. 2024-4-10

[9]
Evaluation of Hospital Antimicrobial Stewardship Programs: Implementation, Process, Impact, and Outcomes, Review of Systematic Reviews.

Antibiotics (Basel). 2024-3-12

[10]
A decade of clinical microbiology: top 10 advances in 10 years: what every infection preventionist and antimicrobial steward should know.

Antimicrob Steward Healthc Epidemiol. 2024-1-25

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