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奥马环素治疗脓肿分枝杆菌肺病研究进展

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脓肿分枝杆菌导致肺部感染的发病率逐年上升,由于其对大部分抗生素以及一线的抗结核药物具有高度的耐药性,因此使治疗陷入困境。不仅如此,长期联合抗感染治疗使药物不良反应的发生率越来越高。奥马环素是一种新型的半合成四环素,因其良好的药动学性质、较好的安全性以及在肺部浓度较高的特点,在许多脓肿分枝杆菌感染的病例报道中均获得了较好疗效。本文就脓肿分枝杆菌的耐药现状与治疗方案、奥马环素的药学特性以及奥马环素治疗脓肿分枝杆菌肺病的体外活性和临床应用等研究进展进行阐述,为将来的研究和治疗提供一定参考。
Research progress of omadacycline in the treatment of Mycobacterium abscessus pulmonary disease
The incidence of pulmonary infections caused by Mycobacterium abscessus is increasing year by year,and its high level of resistance to most antibiotics,as well as to first-line anti-tuberculosis drugs,makes the treatment difficult.Not only that,the long-term combination of antimicrobial drugs has led to an increasing incidence of adverse reactions.Omadacycline,a new semi-synthetic tetracycline,has achieved good efficacy in many case reports of Mycobacterium abscessus infections due to its good pharmacokinetic properties,relatively good safety,and high concentration in the lungs.This article elaborates on the current status of drug resistance and treatment options for Mycobacterium abscessus,the pharmaceutical characteristics of omadacycline,and the in vitro activity and clinical application of omadacycline in the treatment of lung disease caused by Mycobacterium abscessus,providing a certain reference for future research and treatment.

omadacyclineMycobacterium abscessusin vitro activityclinical application

王倩、梁培、兰晨、颜霄迪、袁宾彬、李俐

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中国药科大学基础医学与临床药学学院南京鼓楼医院药学部,南京210009

南京大学医学院附属鼓楼医院药学部,南京210008

南京中医药大学鼓楼临床医学院重症医学科,南京210008

奥马环素 脓肿分枝杆菌 体外活性 临床应用

2024

中国新药杂志
中国医药科技出版社 中国医药集团总公司 中国药学会

中国新药杂志

CSTPCD北大核心
影响因子:1.039
ISSN:1003-3734
年,卷(期):2024.33(24)