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碳青霉烯类耐药性肺炎的卡泊芬净治疗:一例报告。

Innovative Treatment of Carbapenem-Resistant Pneumonia with Carrimycin: A Case Report.

机构信息

Department of Critical Care Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Department of Critical Care Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China

出版信息

Ann Clin Lab Sci. 2024 Jul;54(4):558-562.

Abstract

Carbapenem-resistant is a common multidrug-resistant bacterium encountered in clinical practice. This pathogen causes pneumonia, which is difficult to treat owing to the limited choice of antimicrobial drugs, resulting in a relatively high mortality rate. Carrimycin is a new macrolide antibiotic with broad-spectrum antibacterial and potential immunomodulatory effects. Herein, we report a case of severe pneumonia caused by carbapenem-resistant that presented with septic shock and Acute Respiratory Distress Syndrome (ARDS). Initially, we used piperacillin-tazobactam and ceftazidime-avibactam but without satisfactory results. Finally, we administered carrimycin in combination with piperacillin-tazobactam; the patient's condition improved, and he was successfully weaned off the ventilator. Therefore, the combined use of carrimycin should be considered for patients infected with carbapenem-resistant who do not respond to conventional anti-infection treatments.

摘要

耐碳青霉烯肠杆菌是临床常见的一种多重耐药菌。该病原体可引起肺炎,由于抗菌药物选择有限,治疗较为困难,导致死亡率相对较高。卡利霉素是一种新的大环内酯类抗生素,具有广谱抗菌作用和潜在的免疫调节作用。本文报道了 1 例由耐碳青霉烯肠杆菌引起的重症肺炎合并感染性休克和急性呼吸窘迫综合征(ARDS)的病例。患者初始使用哌拉西林他唑巴坦和头孢他啶阿维巴坦治疗,但效果不佳。最终,我们联合使用卡利霉素和哌拉西林他唑巴坦治疗,患者病情改善,成功撤离呼吸机。因此,对于那些对抗感染常规治疗反应不佳的耐碳青霉烯肠杆菌感染患者,应考虑联合使用卡利霉素。

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