新型抗生素在实体器官移植耐药菌感染治疗中的应用

Application of new antibiotics in the treatment of drug-resistant bacteria infections after solid organ transplantation

  • 摘要: 实体器官移植(SOT)是多种终末期疾病的有效治疗手段。然而,由于术后需要长期使用免疫抑制药以预防排斥反应,SOT受者普遍处于免疫功能低下状态,导致感染风险显著增加。移植后感染,尤其是多重耐药菌引起的感染,是SOT受者常见并发症之一,也是导致移植物功能障碍、移植物丢失乃至受者死亡的主要原因。随着全球细菌耐药形势日益严峻,感染的疾病负担持续增加,严重威胁SOT受者的生存预后及移植物功能。全球范围内对新型抗生素的研发和合理应用策略的探索变得至关重要,多种新型抗生素的研发与上市为临床带来更多选择。因此,系统梳理新型抗生素的药物特性及其在SOT受者这一特殊人群中的应用现状,对于指导临床实践、改善患者预后具有重要意义。

     

    Abstract: Solid organ transplantation (SOT) is an effective treatment method for various end-stage diseases. However, due to the need for long-term use of immunosuppressive drugs to prevent rejection reactions after the surgery, SOT recipients are generally in a state of low immune function, resulting in a significant increase in the risk of infection. Post-transplant infection, especially infections caused by multi-drug resistant bacteria, is one of the common complications for SOT recipients and is also a major cause of graft dysfunction, graft loss and even death of the recipients. As the global situation of bacterial resistance becomes increasingly severe, the burden of infectious diseases continues to increase, seriously threatening the survival prognosis and graft function of SOT recipients. The exploration of new antibiotic research and rational application strategies worldwide has become crucial. The development and launch of various new antibiotics have provided more options for clinical practice. Therefore, systematically reviewing the drug characteristics of new antibiotics and their application status in this special population of SOT recipients is of great significance for guiding clinical practice and improving patients’ prognosis.

     

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