头孢比罗对金黄色葡萄球菌抗菌活性及临床应用进展

Antibacterial activity of ceftobiprole against Staphylococcus aureus and advancement of its clinical application

  • 摘要: 头孢比罗是国内首个第五代头孢菌素,通过抑制青霉素结合蛋白的转肽酶片段(PBPs)发挥抗菌活性。头孢比罗是首个对甲氧西林、万古霉素、利奈唑胺、达托霉素耐药的葡萄球菌(包括金黄色葡萄球菌,表皮葡萄球菌及其他凝固酶阴性葡萄球菌)感染有效的β-内酰胺类抗菌药物。头孢比罗在国内已被批准用于对医院获得性肺炎和社区获得性肺炎(不包括呼吸机相关肺炎)的治疗。目前头孢比罗已完成治疗急性细菌性皮肤及皮肤结构感染(ABSSSIs)及复杂金黄色葡萄球菌菌血症(SAB)有效性和安全性的全球大型3期临床试验,并于今年4月3日获得食品药品监督管理局(FDA)批准。现对头孢比罗对金黄色葡萄球菌的作用机制、体外抗菌活性、国内外临床应用和真实世界用药经验等方面的研究进展进行综述。深入探讨了头孢比罗用于治疗金黄色葡萄球菌感染的疗效和安全性,为临床治疗提供参考。

     

    Abstract: Ceftobiprole is the first fifth-generation cephalosporin in China, which exerts antibacterial activity by inhibiting penicillin-binding proteins (PBPs). It is the first effective β-lactam antibiotic against methicillin-, vancomycin-, linezolid- and daptomycin-resistant Staphylococcus strains including Staphylococcus aureus, Staphylococcus epidermidis and other coagulase-negative Staphylococcus strains. Ceftobiprole is domestically approved for the treatment of hospital- and community-acquired pneumonia (HAP and CAP), excluding ventilator-associated pneumonia (VAP). Phase 3 global clinical trials of ceftobiprole on the efficacy and safety of acute bacterial skin and skin stucture infections (ABSSSIs) and complicated S. aureus bacteremia (SAB) had been completed and approved by the Food and Drug Administration on April 3 this year. We reviewed advancements in the antibacterial mechanism of ceftobiprole against S. aureus, in vitro antimicrobial activity, domestic and international status of clinical applications and real-world medicine experience. The efficacy and safety of ceftobiprole on S. aureus are discussed in detail to provide reference for clinical treatment.

     

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