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通过包括依拉环素在内的联合疗法有效管理血液系统恶性肿瘤伴长期严重粒细胞缺乏症患者合并器官播散的耐碳青霉烯类肠杆菌血流感染

Effective Management of Carbapenem-Resistant Enterobacterales Bloodstream Infection with Organ Dissemination in Prolonged Severe Agranulocytosis Patients with Hematological Malignancy Through Combination Therapies Including Eravacycline.

作者信息

Lv Yuyuan, Zhang Xin, Cui Qingya, Li Mengyun, Bai Lian, Yu Yan, Li XueKai, Chen Xiaoqian, Wu Depei, Tang Xiaowen

机构信息

National Clinical Research Center for Hematologic Diseases, Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China.

Institute of Blood and Marrow Transplantation, Collaborative Innovation Center of Hematology, Soochow University, Suzhou, China.

出版信息

Infect Dis Ther. 2025 Aug 28. doi: 10.1007/s40121-025-01206-2.

DOI:10.1007/s40121-025-01206-2
PMID:40877563
Abstract

This study reports three patients with hematologic malignancy patients and Carbapenem-resistant Enterobacterales (CRE) bloodstream infections and organ dissemination during neutropenia. After failed conventional therapy, a novel "through Combination therapies including eravacycline" regimen achieved fever control within 10 days and lesion resolution by 20 days approximately, demonstrating breakthrough efficacy for CRE bacteremia management.

摘要

本研究报告了3例血液系统恶性肿瘤患者,在中性粒细胞减少期间发生了耐碳青霉烯类肠杆菌科细菌(CRE)血流感染及器官播散。在传统治疗失败后,一种新型的“包括依拉环素在内的联合治疗”方案在10天内实现了发热控制,约20天时病变消退,显示出在治疗CRE菌血症方面的突破性疗效。

相似文献

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Effective Management of Carbapenem-Resistant Enterobacterales Bloodstream Infection with Organ Dissemination in Prolonged Severe Agranulocytosis Patients with Hematological Malignancy Through Combination Therapies Including Eravacycline.通过包括依拉环素在内的联合疗法有效管理血液系统恶性肿瘤伴长期严重粒细胞缺乏症患者合并器官播散的耐碳青霉烯类肠杆菌血流感染
Infect Dis Ther. 2025 Aug 28. doi: 10.1007/s40121-025-01206-2.
2
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J Antibiot (Tokyo). 2025 May;78(6):370-379. doi: 10.1038/s41429-025-00823-w. Epub 2025 May 7.
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本文引用的文献

1
Emerging antimicrobial therapies for Gram-negative infections in human clinical use.目前正在临床应用的针对革兰氏阴性菌感染的新型抗菌疗法。
NPJ Antimicrob Resist. 2025 Feb 27;3(1):16. doi: 10.1038/s44259-025-00087-2.
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Biofilm Resilience: Molecular Mechanisms Driving Antibiotic Resistance in Clinical Contexts.生物膜弹性:临床环境中驱动抗生素耐药性的分子机制。
Biology (Basel). 2025 Feb 6;14(2):165. doi: 10.3390/biology14020165.
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Mortality-related risk factors of carbapenem-resistant Enterobacteriaceae infection with focus on antimicrobial regimens optimization: a real-world retrospective study in China.
耐碳青霉烯类肠杆菌科细菌感染的死亡相关危险因素及抗菌方案优化:一项中国的真实世界回顾性研究
BMC Infect Dis. 2025 Jan 23;25(1):110. doi: 10.1186/s12879-025-10454-z.
4
Synergistic effect of fosfomycin and colistin against KPC-producing Klebsiella pneumoniae: pharmacokinetics-pharmacodynamics combined with transcriptomic approach.磷霉素与黏菌素对产 KPC 肺炎克雷伯菌的协同作用:药代动力学-药效学结合转录组学方法。
BMC Microbiol. 2024 Oct 25;24(1):430. doi: 10.1186/s12866-024-03581-1.
5
Intravenous Fosfomycin as Adjunctive Therapy for Gram-Negative Bacteria Bloodstream Infections: A Propensity Score Adjusted Retrospective Cohort Study.静脉注射磷霉素作为革兰氏阴性菌菌血症辅助治疗的研究:一项倾向评分调整的回顾性队列研究。
Int J Antimicrob Agents. 2024 Aug;64(2):107247. doi: 10.1016/j.ijantimicag.2024.107247. Epub 2024 Jun 19.
6
Eravacycline: a comprehensive review of in vitro activity, clinical efficacy, and real-world applications.依拉环素:体外活性、临床疗效和实际应用的全面综述。
Expert Rev Anti Infect Ther. 2024 Jun;22(6):387-398. doi: 10.1080/14787210.2024.2351552. Epub 2024 May 8.
7
Low-dose intravenous immunoglobulin (IVIg) in different immune-mediated conditions.不同免疫介导疾病中的低剂量静脉注射免疫球蛋白(IVIg)。
Autoimmun Rev. 2023 Nov;22(11):103451. doi: 10.1016/j.autrev.2023.103451. Epub 2023 Sep 23.
8
Efficacy and safety of polymyxin B in carbapenem-resistant gram-negative organisms infections.多黏菌素 B 在碳青霉烯类耐药革兰氏阴性菌感染中的疗效和安全性。
BMC Infect Dis. 2021 Oct 4;21(1):1034. doi: 10.1186/s12879-021-06719-y.
9
Polymyxin-induced nephrotoxicity and its predictors: a systematic review and meta-analysis of studies conducted using RIFLE criteria of acute kidney injury.多黏菌素诱导的肾毒性及其预测因素:使用急性肾损伤 RIFLE 标准进行的研究的系统评价和荟萃分析。
Pharmacol Res. 2021 Jan;163:105328. doi: 10.1016/j.phrs.2020.105328. Epub 2020 Dec 2.
10
Global trends of antimicrobial susceptibility to ceftaroline and ceftazidime-avibactam: a surveillance study from the ATLAS program (2012-2016).全球头孢洛林和头孢他啶-阿维巴坦的抗菌药物敏感性趋势:来自 ATLAS 项目(2012-2016 年)的监测研究。
Antimicrob Resist Infect Control. 2020 Oct 27;9(1):166. doi: 10.1186/s13756-020-00829-z.