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http://dspace.hmtu.edu.vn/handle/DHKTYTHD_123/324
Nhan đề : | Multidrug-resistant bacteria: what is the threat? |
Tác giả : | Bassetti, Matteo Righi, Elda |
Năm xuất bản : | 2013 |
Nhà xuất bản : | American Society of Hematology |
Tóm tắt : | Despite big advances in antimicrobial therapies and infection strategies, the emergence of antibiotic resistance represents an emergency situation, especially in immunocompromised hosts. Specifically, infections due to multidrug resistant, gram-negative pathogens are responsible for high mortality rates and may leave few effective antimicrobial options. Furthermore, although new compounds are available for severe methicillin-resistant staphylococcal infections, there is a paucity of novel classes of antimicrobials to target resistant gram-negatives. A careful assessment of the clinical conditions and underlying comorbidities, along with knowledge about the previous history of colonization or infections due to multidrug-resistant bacteria, represent key points in approaching the hematological patient with signs of infection. A de-escalation therapy with initial use of wide-spectrum antimicrobials followed by a reassessment after 72 hours of treatment may represent a good option in severe infections if a resistant pathogen is suspected. Prompt empiric or targeted therapy using combination regimens (ie, antipseudomonal beta-lactam plus an aminoglycoside or a quinolone) with the addition of colistin, along with increased dosage and therapeutic drug monitoring, represent options for these life-threatening infections. Continuous epidemiological surveillance of local bacteremias is necessary, along with stringent enforcement of antibiotic stewardship programs in cancer patients. |
URI: | http://220.231.117.85:8000/handle/DHKTYTHD_123/324 |
Bộ sưu tập | Huyết học = Hematology |
Danh sách tệp tin đính kèm:
Tên tệp tin | Mô tả tệp tin | Dung lượng | Định dạng | |
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Hematology-2013-Bassetti-428-32.pdf Restricted Access | 88.54 kB | Adobe PDF | Gửi yêu cầu |
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