Current and future perspectives in the treatment of multidrug-resistant Gram-negative infections.

Current and future perspectives in the treatment of multidrug-resistant Gram-negative infections.
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DOI:
10.1093/jac/dkab352
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发表时间:
2021-11-22
期刊:
The Journal of antimicrobial chemotherapy
影响因子:
--
通讯作者:
Garau J
Garau J
中科院分区:
其他
文献类型:
--
作者:
Bassetti M;Garau J

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微生物耐药性是全球范围内对人类健康的严重威胁。在世界卫生组织的优先耐药细菌名单中,有三种被列为关键-最高级别的关注-并且所有三种都是革兰氏阴性。革兰氏阴性耐药通过多种机制在全球范围内传播,最有问题的是通过AmpC酶、超广谱β-内酰胺酶和碳青霉烯酶。许多具有高毒性的旧药物和新药物的组合正在用于对抗多药耐药性,并取得了不同程度的成功。本文综述了目前对多重耐药革兰氏阴性菌的治疗方法,包括新药物,旧化合物和两者的新组合,以及目前正在研究的一些新的治疗靶点。
Microbial resistance is a serious threat to human health worldwide. Among the World Health Organisation’s list of priority resistant bacteria, three are listed as critical—the highest level of concern—and all three are Gram-negative. Gram-negative resistance has spread worldwide via a variety of mechanisms, the most problematic being via AmpC enzymes, extended-spectrum β-lactamases, and carbapenemases. A combination of older drugs, many with high levels of toxicity, and newer agents are being used to combat multidrug resistance, with varying degrees of success. This review discusses the current treatments for multidrug-resistant Gram-negative bacteria, including new agents, older compounds, and new combinations of both, and some new treatment targets that are currently under investigation.
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