首页|新型β-内酰胺类/β-内酰胺酶抑制剂复合制剂头孢吡肟-他尼硼巴坦钠的研究进展

新型β-内酰胺类/β-内酰胺酶抑制剂复合制剂头孢吡肟-他尼硼巴坦钠的研究进展

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细菌耐药是一个全球性的公共卫生问题,尤其是碳青霉烯类耐药的革兰阴性菌(carbapenem-resistant Gram-negative bacteria,CR-GNB)的危害尤为严重。临床对CR-GNB感染的防治手段非常有限,故迫切需要新型抗菌药物。头孢吡肟-他尼硼巴坦钠是由第 4 代头孢菌素头孢吡肟和新型广谱β-内酰胺酶抑制剂他尼硼巴坦钠组成的复方制剂,其对A、B、C和D4 类β-内酰胺酶都具有直接的抑制活性,因而可能对CR-GNB等耐药菌具有较好的抗菌作用。该文从头孢吡肟和他尼硼巴坦钠的作用机理、药学特性、抗菌活性、临床研究、抑酶/抑菌谱等方面进行了综述,从而为头孢吡肟-他尼硼巴坦钠的临床合理应用提供参考。
Research Progress in Novel β-Lactam/β-Lactamase Inhibitor Compound Preparation Cefepime-Taniborbactam Sodium
Bacterial resistance is a global public health problem,especially carbapenem-resistant Gram-negative bacteria(CR-GNB)have more serious harm.Clinically,there are very limited methods for prevention and treatment of CR-GNB infection,so novel antibacterial drugs are urgently needed.Cefepime-taniborbactam sodium is a compound preparation composed of the fourth-generation cephalosporin cefepime and the novel broad-spectrum β-lactamase inhibitor taniborbactam sodium,and has direct inhibitory activity against four types of β-lactamases(types A,B,C and D),so it may have good antibacterial effects on CR-GNB and other drug-resistance bacteria.In this article,the mechanism of action,pharmaceutical properties,antibacterial activity,clinical study,enzyme inhibition/antibacterial spectrum of cefepime and taniborbactam sodium are reviewed,so as to provide reference for the rational clinical use of cefepime-taniborbactam sodium.

cefepime-taniborbactam sodiumβ-lactam drugβ-lactamase inhibitorcarbapenem-resistant Gram-negative bacteria

侯举、夏延哲、李佳

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长沙市第一医院药剂科,长 沙 410005

中山大学附属第一医院药学部,广 州 510080

头孢吡肟-他尼硼巴坦钠 β-内酰胺类药物 β-内酰胺酶抑制剂 碳青霉烯类耐药的革兰阴性菌

2024

抗感染药学
江苏省苏州市第五人民医院

抗感染药学

影响因子:0.505
ISSN:1672-7878
年,卷(期):2024.21(10)