比较基于头孢哌酮/舒巴坦和非基于头孢哌酮/舒巴坦的治疗方案在多重耐药鲍曼不动杆菌感染患者中的疗效--一项 Meta 分析。

IF 4.3 2区医学 Q1 INFECTIOUS DISEASES

Antibiotics-Basel Pub Date : 2024-09-23 DOI:10.3390/antibiotics13090907

Chienhsiu Huang, Lichen Lin, Sufang Kuo

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引用次数: 0

摘要

加入舒巴坦类药物后，头孢哌酮对细菌的活性恢复到了完整的范围，其作用范围也扩展到了鲍曼不动杆菌。目前尚未研究头孢哌酮/舒巴坦对多重耐药鲍曼不动杆菌的有效性。本次荟萃分析旨在比较头孢哌酮/舒巴坦治疗方案和非头孢哌酮/舒巴坦治疗方案在治疗多重耐药鲍曼不动杆菌感染中的疗效。目前对 10 项回顾性研究进行的荟萃分析提供了证据，在多重耐药鲍曼不动杆菌感染患者的 30 天死亡率和临床改善方面，以头孢哌酮/舒巴坦为基础的治疗方案优于以非头孢哌酮/舒巴坦为基础的治疗方案。接受头孢哌酮/舒巴坦类药物治疗方案的多重耐药鲍曼不动杆菌感染患者的死亡风险降低了 38%。在多重耐药鲍曼不动杆菌感染患者中，就30天死亡率而言，头孢哌酮/舒巴坦联合疗法优于头孢哌酮/舒巴坦单一疗法。

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Comparing the Outcomes of Cefoperazone/Sulbactam-Based and Non-Cefoperazone/Sulbactam-Based Therapeutic Regimens in Patients with Multiresistant Acinetobacter baumannii Infections-A Meta-Analysis.

The addition of sulbactam restores the complete range of cefoperazone activity against bacteria and extends its spectrum of action to include the Acinetobacter species. The effectiveness of cefoperazone/sulbactam against multiresistant Acinetobacter baumannii has not been investigated. The purpose of the current meta-analysis was to compare the efficacy of cefoperazone/sulbactam-based therapeutic regimens and non-cefoperazone/sulbactam-based therapeutic regimens in the treatment of multiresistant Acinetobacter baumannii infections. The current meta-analysis of 10 retrospective studies provides evidence that cefoperazone/sulbactam-based therapeutic regimens are superior to non-cefoperazone/sulbactam-based therapeutic regimens in terms of 30-day mortality and clinical improvement in patients with multiresistant Acinetobacter baumannii infections. The risk of mortality was reduced by 38% among multiresistant Acinetobacter baumannii infections in patients who received cefoperazone/sulbactam-based therapeutic regimens. The cefoperazone/sulbactam-based combination therapy was superior to the cefoperazone/sulbactam monotherapy in terms of 30-day mortality when both therapeutic regimens were compared to the tigecycline monotherapy in patients with multiresistant Acinetobacter baumannii infections.

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来源期刊

Antibiotics-Basel Pharmacology, Toxicology and Pharmaceutics-General Pharmacology, Toxicology and Pharmaceutics

CiteScore

7.30

自引率

14.60%

发文量

1547

审稿时长

11 weeks

期刊介绍： Antibiotics (ISSN 2079-6382) is an open access, peer reviewed journal on all aspects of antibiotics. Antibiotics is a multi-disciplinary journal encompassing the general fields of biochemistry, chemistry, genetics, microbiology and pharmacology. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. Therefore, there is no restriction on the length of papers.