The outlook for prevention and treatment of infections due to Pseudomonas aeruginosa.

The outlook for prevention and treatment of infections due to Pseudomonas aeruginosa.
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铜绿假单胞菌感染预防和治疗的展望。

DOI:
10.1093/clinids/6.supplement_3.s769
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发表时间:
1984
期刊:
Reviews of infectious diseases
影响因子:
--
通讯作者:
R. Platt
R. Platt
中科院分区:
--
文献类型:
--
作者:
L. Young;R. Wenzel;L. Sabath;M. Pollack;J. Pennington;R. Platt

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基于仔细的医院监测的控制措施主要旨在最大限度地减少铜绿假单胞菌的环境来源。流行病学控制的其他重要方面包括积极评估疫情和限制抗菌药物的使用。已经开发出了有效的新的抗微生物化疗,其中大多数新药为β-内酰胺类和氨基糖苷类。尽管有这些进展,耐药性的可能性似乎很大,对新化合物的研究仍在继续。最有吸引力的是增强宿主防御的方法。循环吞噬细胞的替代或补充在概念上是有吸引力的,但这种方法遇到了主要的技术问题和并发症。最近,在开发旨在增加循环抗体的免疫学方法方面取得了重要进展。单克隆抗体和制备超免疫球蛋白的新方法的发展已经产生了必须通过临床试验测试的干预形式,但并非所有患者都可以从铜绿假单胞菌循环抗体的增加中获益。
Control measures based on careful hospital surveillance are aimed primarily at minimizing environmental sources of Pseudomonas aeruginosa. Other important aspects of epidemiologic control include aggressive evaluation of outbreaks and limitation of antimicrobial use. Potent new antimicrobial chemotherapy has been developed, with most new agents of the beta-lactam and aminoglycoside classes. In spite of these developments, the likelihood of drug resistance seems great and the search for novel compounds continues. Of greatest appeal are approaches that augment host defences. Replacement or supplementation of circulating phagocytic cells is conceptually attractive, but this approach has encountered major technical problems and complications. More recently, there has been important progress in developing immunologic approaches aimed at augmenting circulating antibodies. Development of monoclonal antibodies and new methods for preparing hyperimmune globulins has produced forms of intervention that must be tested by clinical trials, but not all patients may benefit from augmentation of circulating antibodies to P. aeruginosa.
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影响因子: --
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影响因子: --
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