FDA批准的新抗菌药物:2015-2017。

Stefan Andrei, Liana Valeanu, Radu Chirvasuta, Mihai-Gabriel Stefan
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引用次数: 38

摘要

细菌对抗生素的耐药性增加是一个全球性的持续问题。对新型抗菌剂的迫切需求导致了重大的研究努力,并提出了用于临床实践的新分子。然而,正如许多小组所强调的那样,这一过程并没有最佳的节奏和功效,以充分对抗高度适应性的细菌,特别是在重症监护病房。本文重点回顾了最近三年FDA批准的新型抗菌药物(2015-2017年):头孢他啶/阿维巴坦、阿比尔toxaximab、bezlotoxu-mab、德拉沙星、美罗培南/瓦博巴坦、奥唑沙星。头孢他啶/阿维巴坦和美罗培南/瓦波巴坦是耐药菌治疗领域的新参与者。头孢他啶/阿维巴坦在复杂泌尿系统或腹腔感染、医院和呼吸机相关性肺炎的选定患者中得到验证。美罗培南/瓦波巴坦获得批准用于复杂尿路感染病例。其他潜在适应症正在调查中,未来的研究将扩大和验证。Obiltoxaximab是一种单克隆抗体,可用于预防和治疗吸入性炭疽。Bezlotoxumab单克隆抗体是治疗复发性艰难梭菌感染的一种有用的特异性工具。德拉沙星被批准用于急性皮肤或皮肤结构感染的患者。尽管最近取得了进展,但必须继续开发新的抗生素药物和新的策略来对抗抗生素耐药性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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New FDA approved antibacterial drugs: 2015-2017.

Increasing bacterial resistance to antibiotics is a worldwide ongoing issue. Urgent need for new antibacterial agents has resulted in significant research efforts, with new molecules proposed for use in clinical practice. However, as highlighted by many groups this process does not have an optimal rhythm and efficacy, to fully combat highly adaptive germs, particularly in the intensive care units. This review focuses on the last three years of novel FDA approved antibacterial agents (2015-2017): ceftazidime/avibactam, obiltoxaximab, bezlotoxu-mab, delafloxacin, meropenem/vaborbactam, ozenoxacin. Ceftazidime/avibactam and meropenem/ vaborbactam are new players in the field of resistant bacteria treatment. Ceftazidime/avibactam is validated in selected patients with complicated urinary or intra-abdominal infections, hospital and ventilator-associated pneumonia. Meropenem/ vaborbactam gained approval for the cases of complicated urinary tract infections. Other potential indications are under investigation, widened and validated by future studies. Obiltoxaximab is a monoclonal antibody that can be used in the prevention and treatment of inhalational anthrax. Bezlotoxumab monoclonal antibody is an useful and specific tool for the management of recurrent Clostridium difficile infection. Delafloxacin is approved for patients with acute skin or skin structure infections. Despite recent progress, it is imperative to continue the development of new antibiotic drugs and new strategies to counteract resistance to antibiotics.

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