联合用药治疗耐甲氧西林金黄色葡萄球菌感染的研究进展
Progress of research on combined drug therapies for treatment of methicillin-resistant Staphylococcus aureus infection
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摘要: 耐甲氧西林金黄色葡萄球菌(MRSA)因具有多重耐药性、极强的致病力、较高的发病率和病死率, 是近年来医院和社区常见的超级耐药菌。近些年, 随着各种广谱抗菌药物的大量应用以及抗菌药物的滥用, MRSA已经对万古霉素等常规抗菌治疗表现出了广泛的耐药性, 研发新型药物、开发新的治疗方案是抗MRSA研究的重要临床课题。通过抗菌药物联用, 增强传统药物抗菌作用、降低细菌耐药性成为目前较为可行的临床治疗措施。本文对万古霉素等抗MRSA药物的联合用药方案, 及中药和纳米技术与抗菌药物联合应用的相关研究进行汇总分析, 以期为临床用药及后续新药、新技术开发提供参考。Abstract: Methicillin-resistant Staphylococcus aureus (MRSA) is a super drug-resistant pathogen for its multi-drug resistance, strong pathogenicity, high morbidity and mortality and is common in communities and hospitals in recent years. With the extensive use of various broad-spectrum antibiotics and the abuse of antimicrobial agents, MRSA strains have shown extensive resistance to conventional antibiotics such as vancomycin in recent years. The development of new drugs and new therapeutic regimens is the major clinical task for treatment of MRSA infection. Enhancing the antimicrobial effect of traditional antibiotics and reducing the resistance through combined usage of drugs are at present the feasible measures for clinical treatment. The article focuses on the drug combinations of anti-MRSA drugs such as vancomycin and the combination of traditional Chinese medicine and nanotechnology with antibiotics so as to provide reference for clinical medication and subsequent development of new drugs and new technology.
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