临床普外科电子杂志 ›› 2023, Vol. 11 ›› Issue (4): 31-.

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厄他培南在社区获得性腹腔感染及围手术期中的临床应用进展

  

  1. 1. 青岛市市立医院 药学部, 山东 青岛 266071;2. 日照市中心医院 药学部, 山东 日照 276800;3. 济宁市第一人民医院 临床药学科,山东 济宁 272002
  • 出版日期:2023-10-01 发布日期:2023-12-26
  • 基金资助:

    山东省医学会碳青霉烯类抗菌药物应用与管理科研专项基金(YXH2021ZX002)

The clinical application of ertapenem in community-acquired intraabdominal infection and perioperative period

  1. 1. Pharmacy Department of Qingdao Municipal Hospital, Shandong Qingdao 266071, China; 2. Pharmacy Department of Rizhao Central Hospital, Shandong Rizhao 276800, China; 3. Clinical Pharmacy Institute of Jining First People's Hospital, Shandong Jining 272000, China
  • Online:2023-10-01 Published:2023-12-26

摘要:

腹腔感染是外科常见急危重症之一,具有较高的发病率和死亡率,除进行外科手术、液体复苏等对症支持治疗外,抗感染治疗是重要的治疗手段,而厄他培南作为碳青霉烯类药物,虽被国内外各大指南、共识推荐作为治疗社区获得性腹腔感染的一线治疗药物,但临床进行经验性抗感染治疗时更倾向于选择其他碳青霉烯类,以及三代头孢菌素和/ 或硝基咪唑类、氟喹诺酮类等抗菌药物,较少选择厄他培南进行治疗。本文旨在通过厄他培南对细菌耐药性的作用,治疗社区获得性腹腔感染在安全性、有效性、经济性等方面的优势,以及围手术期预防性应用对术后感染发生率的影响进行综述,为其在临床广泛推广应用提供参考依据。

关键词: 厄他培南, 腹腔感染, 围手术期, 预防用药

Abstract:

Abdominal infection is one of the common acute and critical diseases in surgery, with a high incidence rate and mortality. In addition to symptomatic support treatment such as surgery and fluid resuscitation, anti-infection treatment is an important treatment method. As a carbapenem drug, although ertapenem has been recommended as a first-line treatment drug for community abdominal infection by major guidelines and consensus at home and abroad, However, when conducting empirical anti infection treatment in clinical practice, it is more inclined to choose other carbapenems, as well as third-generation cephalosporins and/or nitroimidazoles, fluoroquinolones and other antibacterial drugs, and less to choose ertapenem for treatment. This article aims to review the effects of ertapenem on bacterial resistance, the advantages of its safety, effectiveness, and economy in

treating community abdominal infections, as well as the impact of perioperative prophylactic use on the incidence of postoperative infections, in order to provide reference for its widespread clinical application.

Key words: Ertapenem, Abdominal infection, Perioperative period, Preventive medication