Keck J Myles, Viteri Alina, Schultz Jacob, Fong Rebecca, Whitman Charles, Poush Madeline, Martin Marlee
Department of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Independent Researcher, Thonotosassa, FL 33592, USA.
Antibiotics (Basel). 2024 Jul 13;13(7):648. doi: 10.3390/antibiotics13070648.
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.
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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