Pharmacology of emerging drugs for the treatment of multi-drug resistant tuberculosis

IF 1.9 Q3 INFECTIOUS DISEASES
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引用次数: 0

Abstract

Mycobacterium tuberculosis (TB) remains the leading cause of infection-related mortality worldwide. Drug resistance, need for multiple antimycobacterial agents, prolonged treatment courses, and medication-related side effects are complicating factors to TB cure. The introduction of treatment regimens containing the novel agents bedaquiline, pretomanid, and linezolid, with or without moxifloxacin (BPaL-M or BPaL, respectively) have substantially reduced TB-related morbidity and mortality and are associated with favorable rates of treatment completion and cure. This review summarizes key information on the pharmacology and treatment principles for moxifloxacin, bedaquiline, delamanid, pretomanid, linezolid, and tedizolid in the treatment of multi-drug resistant TB, with recommendations provided to address and attenuate common adverse effects during treatment.

治疗耐多药结核病的新药药理学
结核分枝杆菌(TB)仍然是全球感染相关死亡的主要原因。耐药性、需要使用多种抗结核药物、疗程过长以及与药物相关的副作用都是影响结核病治愈的复杂因素。含有新型药物贝达喹啉、丙托马尼和利奈唑胺,并分别添加或不添加莫西沙星(BPaL-M 或 BPaL)的治疗方案的引入,大大降低了与结核病相关的发病率和死亡率,并提高了治疗完成率和治愈率。本综述总结了莫西沙星、贝达喹啉、地拉米尼、丙托马尼、利奈唑胺和泰迪佐利特治疗耐多药结核病的药理学和治疗原则等关键信息,并就如何应对和减轻治疗过程中常见的不良反应提出了建议。
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来源期刊
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases Medicine-Pulmonary and Respiratory Medicine
CiteScore
4.00
自引率
5.00%
发文量
44
审稿时长
30 weeks
期刊介绍: Journal of Clinical Tuberculosis and Mycobacterial Diseases aims to provide a forum for clinically relevant articles on all aspects of tuberculosis and other mycobacterial infections, including (but not limited to) epidemiology, clinical investigation, transmission, diagnosis, treatment, drug-resistance and public policy, and encourages the submission of clinical studies, thematic reviews and case reports. Journal of Clinical Tuberculosis and Mycobacterial Diseases is an Open Access publication.
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