Cefepime: a reappraisal in an era of increasing antimicrobial resistance.

Cefepime: a reappraisal in an era of increasing antimicrobial resistance.
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头头:在增加抗菌素耐药性时代的重新评估。

DOI:
10.1586/14787210.6.6.805
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发表时间:
2008-12
影响因子:
5.7
通讯作者:
Bonomo RA
Bonomo RA
中科院分区:
医学2区
文献类型:
--
作者:
Endimiani A;Perez F;Bonomo RA

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头孢吡肟是“第四代”头孢菌素,对革兰氏阴性和革兰氏阳性病原体具有体外广谱活性。头孢吡肟被批准用于治疗中重度感染,如肺炎、单纯性和单纯性尿路感染、皮肤和软组织感染、腹腔感染和发热性中性粒细胞减少症。本文综述了头孢吡肟在临床应用十多年后的药效学、临床管理、药代动力学、代谢、药效学靶点分析、临床疗效、安全性和耐受性。
Cefepime is a ‘fourth-generation’ cephalosporin with an in vitro extended-spectrum of activity against Gram-negative and Gram-positive pathogens. Cefepime is approved for the treatment of moderate-to-severe infections, such as pneumonia, uncomplicated and complicated urinary tract infections, skin and soft-tissue infections, intra-abdominal infections and febrile neutropenia. In this article, we provide a critical review of pharmacodynamics, clinical management, pharmacokinetics, metabolism, pharmacodynamic target analyses, clinical efficacy, safety and tolerability of cefepime after more than a decade of clinical use.
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