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迈向泌尿道感染的个体化治疗。

Towards individualised treatment of urinary tract infections.

作者信息

Stadler Ellen V, Holmes Alison, O'Hare Danny, Rawson Timothy M

机构信息

Centre for Antimicrobial Optimisation, Imperial College London, London, UK.

Department of Infectious Diseases, Imperial College London, London, UK.

出版信息

Commun Med (Lond). 2025 Jul 1;5(1):263. doi: 10.1038/s43856-025-00962-z.

DOI:10.1038/s43856-025-00962-z
PMID:40595284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12218288/
Abstract

Monitoring host- and pathogen-specific biomarkers alongside drug levels at the site of infection offers promise for personalised antimicrobial therapy. Here, we highlight the potential of longitudinally monitoring biomarkers in urine using existing technologies to enable individualised PK-PD optimisation in urinary tract infections.

摘要

在感染部位监测宿主和病原体特异性生物标志物以及药物水平,为个性化抗菌治疗带来了希望。在此,我们强调利用现有技术纵向监测尿液中的生物标志物,以实现尿路感染中个体化药代动力学-药效学优化的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aade/12218288/7d60d46615e7/43856_2025_962_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aade/12218288/e40de488c58a/43856_2025_962_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aade/12218288/7d60d46615e7/43856_2025_962_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aade/12218288/e40de488c58a/43856_2025_962_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aade/12218288/7d60d46615e7/43856_2025_962_Fig2_HTML.jpg

相似文献

1
Towards individualised treatment of urinary tract infections.迈向泌尿道感染的个体化治疗。
Commun Med (Lond). 2025 Jul 1;5(1):263. doi: 10.1038/s43856-025-00962-z.
2
Homeopathic medicinal products for preventing and treating acute respiratory tract infections in children.顺势疗法药物预防和治疗儿童急性呼吸道感染。
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Individualised versus standard duration of antibiotic therapy in children with acute uncomplicated febrile urinary tract infection: a study protocol and statistical analysis plan for a multicentre randomised clinical trial.个体化与标准疗程抗生素治疗儿童急性单纯性发热性尿路感染:一项多中心随机临床试验的研究方案和统计分析计划。
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Homeopathic medicinal products for preventing and treating acute respiratory tract infections in children.用于预防和治疗儿童急性呼吸道感染的顺势疗法药品。
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Homeopathic medicinal products for preventing and treating acute respiratory tract infections in children.用于预防和治疗儿童急性呼吸道感染的顺势疗法药品。
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Feasibility of serial measurement of nitrite for pharmacodynamic monitoring and precision prescribing in urinary tract infections.连续测量亚硝酸盐用于尿路感染药效学监测和精准用药的可行性
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Antibiotic duration for treating uncomplicated, symptomatic lower urinary tract infections in elderly women.老年女性单纯性、症状性下尿路感染的抗生素治疗疗程
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本文引用的文献

1
Biomarkers for urinary tract infection: present and future perspectives.尿路感染的生物标志物:现状与未来展望。
Pediatr Nephrol. 2024 Oct;39(10):2833-2844. doi: 10.1007/s00467-024-06321-9. Epub 2024 Mar 14.
2
What is the Diagnostic Accuracy of Novel Urine Biomarkers for Urinary Tract Infection?新型尿液生物标志物对尿路感染的诊断准确性如何?
Biomark Insights. 2023 Jan 23;18:11772719221144459. doi: 10.1177/11772719221144459. eCollection 2023.
3
Model-informed precision dosing of beta-lactam antibiotics and ciprofloxacin in critically ill patients: a multicentre randomised clinical trial.
模型指导下的重症患者β-内酰胺类抗生素和环丙沙星的精准给药:一项多中心随机临床试验。
Intensive Care Med. 2022 Dec;48(12):1760-1771. doi: 10.1007/s00134-022-06921-9. Epub 2022 Nov 9.
4
Toward a Quantitative Colorimeter for Point-of-Care Nitrite Detection.用于即时护理亚硝酸盐检测的定量比色计研究。
ACS Omega. 2022 Mar 22;7(13):11126-11134. doi: 10.1021/acsomega.1c07205. eCollection 2022 Apr 5.
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Electrochemical quantification of biomarker myeloperoxidase.电化学定量测定生物标志物髓过氧化物酶。
Z Naturforsch C J Biosci. 2022 Feb 22;77(7-8):297-302. doi: 10.1515/znc-2021-0274. Print 2022 Jul 26.
6
Effect of therapeutic drug monitoring-based dose optimization of piperacillin/tazobactam on sepsis-related organ dysfunction in patients with sepsis: a randomized controlled trial.基于治疗药物监测的哌拉西林/他唑巴坦剂量优化对脓毒症相关器官功能障碍的影响:一项随机对照试验。
Intensive Care Med. 2022 Mar;48(3):311-321. doi: 10.1007/s00134-021-06609-6. Epub 2022 Feb 1.
7
Optimizing antimicrobial use: challenges, advances and opportunities.优化抗菌药物使用:挑战、进展与机遇。
Nat Rev Microbiol. 2021 Dec;19(12):747-758. doi: 10.1038/s41579-021-00578-9. Epub 2021 Jun 22.
8
Quantitative urinary tract infection diagnosis of leukocyte esterase with a microfluidic paper-based device.使用基于微流控纸基器件对白细胞酯酶进行定量尿路感染诊断。
Dalton Trans. 2021 Jul 13;50(27):9417-9425. doi: 10.1039/d1dt01541a.
9
Biomarkers in urinary tract infections - which ones are suitable for diagnostics and follow-up?尿路感染中的生物标志物——哪些适用于诊断和随访?
GMS Infect Dis. 2020 Nov 26;8:Doc24. doi: 10.3205/id000068. eCollection 2020.
10
Impact of Therapeutic Drug Monitoring on Once-Daily Regimen of Amikacin in Patients With Urinary Tract Infection: A Prospective Observational Study.治疗药物监测对尿路感染患者阿米卡星每日 1 次方案的影响:一项前瞻性观察研究。
Ther Drug Monit. 2020 Dec;42(6):841-847. doi: 10.1097/FTD.0000000000000800.