Antibiotic Strategies for Severe Community-Acquired Pneumonia

IF 2.3 3区 医学 Q2 CRITICAL CARE MEDICINE
Matteo Bassetti, Daniele R. Giacobbe, Laura Magnasco, Alberto Fantin, Antonio Vena, Nadia Castaldo
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引用次数: 0

Abstract

Despite advancements in health systems and intensive care unit (ICU) care, along with the introduction of novel antibiotics and microbiologic techniques, mortality rates in severe community-acquired pneumonia (sCAP) patients have not shown significant improvement. Delayed admission to the ICU is a major risk factor for higher mortality. Apart from choosing the appropriate site of care, prompt and appropriate antibiotic therapy significantly affects the prognosis of sCAP. Treatment regimens involving ceftaroline or ceftobiprole are currently considered the best options for managing patients with sCAP. Additionally, several other molecules, such as delafloxacin, lefamulin, and omadacycline, hold promise as therapeutic strategies for sCAP. This review aims to provide a comprehensive summary of the key challenges in managing adults with severe CAP, focusing on essential aspects related to antibiotic treatment and investigating potential strategies to enhance clinical outcomes in sCAP patients.

治疗严重社区获得性肺炎的抗生素策略
尽管医疗系统和重症监护室(ICU)护理取得了进步,并引入了新型抗生素和微生物技术,但重症社区获得性肺炎(sCAP)患者的死亡率并没有明显改善。延迟入住重症监护室是导致死亡率升高的主要风险因素。除了选择合适的治疗地点外,及时、适当的抗生素治疗对 sCAP 的预后也有重要影响。目前,头孢他啶或头孢比普乐是治疗 sCAP 患者的最佳选择。此外,其他一些分子,如delafloxacin、lefamulin和omadacycline,也有望成为sCAP的治疗策略。本综述旨在全面总结成人重症 CAP 患者治疗过程中面临的主要挑战,重点关注与抗生素治疗相关的重要方面,并探讨提高 sCAP 患者临床疗效的潜在策略。
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来源期刊
CiteScore
6.10
自引率
0.00%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The journal focuses on new diagnostic and therapeutic procedures, laboratory studies, genetic breakthroughs, pathology, clinical features and management as related to such areas as asthma and other lung diseases, critical care management, cystic fibrosis, lung and heart transplantation, pulmonary pathogens, and pleural disease as well as many other related disorders.The journal focuses on new diagnostic and therapeutic procedures, laboratory studies, genetic breakthroughs, pathology, clinical features and management as related to such areas as asthma and other lung diseases, critical care management, cystic fibrosis, lung and heart transplantation, pulmonary pathogens, and pleural disease as well as many other related disorders.
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