С。艰难梭菌感染:抗生素相关性腹泻治疗方案的临床和药物经济学评估

E. A. Ortenberg
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引用次数: 0

摘要

本文回顾了2017年至2022年期间对包括假膜性结肠炎在内的抗生素相关性腹泻(AAD)患者艰难梭菌感染推荐治疗算法的成本-效果分析的最大研究。综述显示,俄罗斯、欧盟和美国的专业医学协会以及荟萃分析一致认为万古霉素是AAD和假膜性结肠炎最重要的治疗选择。甲硝唑和非达霉素在AAD治疗中的作用被认为是不明确的。基于成本效益分析,建议更普遍地使用替柯普兰。
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С. difficile infection: clinical and pharmacoeconomic assessment of treatment regimens in antibiotic-associated diarrhea
This paper provides a review of the largest studies (over the period of 2017 to 2022) on cost-effectiveness analysis of the recommended treatment algorithms for Clostridioides difficile infection in patients with antibiotic-associated diarrhea (AAD), including pseudomembranous colitis. The review showed that professional medical societies in Russia, EU and US as well as meta-analyses consistently consider vancomycin as the most important treatment option for AAD and pseudomembranous colitis. The role of metronidazole and fidaxomicin in the treatment of AAD is considered ambiguous. Teicoplanin is recommended for using more commonly based on cost-effectiveness analysis.
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