RETRACTED: Management of methicillin-resistant Staphylococcus aureus pneumonia (Retracted article. See vol. 23, pg. 402, 2010)

被引:9
|
作者
Luna, Carlos M. [1 ]
Boyeras Navarro, Iris D. [1 ]
机构
[1] Univ Buenos Aires, Dept Med, Div Pulm, Hosp Clin, RA-1053 Buenos Aires, DF, Argentina
关键词
community acquired pneumonia; hospital acquired pneumonia; healthcare-associated pneumonia; management; methicillin-resistant Staphylococcus aureus; pneumonia; ventilator-associated pneumonia; VENTILATOR-ASSOCIATED PNEUMONIA; PANTON-VALENTINE LEUKOCIDIN; CARE-ASSOCIATED PNEUMONIA; NOSOCOMIAL PNEUMONIA; LATIN-AMERICA; UNITED-STATES; VANCOMYCIN; IMPACT; OUTCOMES; INFECTIONS;
D O I
10.1097/QCO.0b013e328336a23f
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Purpose of review Staphylococcus aureus, and particularly methicillin-resistant Staphylococcus aureus (MRSA) has become an increasingly important etiology of pneumonia, both in healthcare and community settings. Associated with highest morbidity, mortality and costs in public health, it represents a major challenge for the management of this group of patients. Recent findings MRSA is one of the most common pathogens of ventilator associated pneumonia, whereas its estimated incidence for hospital acquired pneumonia, healthcare associated pneumonia and community acquired pneumonia has risen in the past decades. Although vancomycin at standard doses remains as the mainstay for its treatment, the increasing rate of treatment failure has prompted other strategies of use (more frequent administration, continuous infusion, combination therapy), and the use of newer antimicrobials, particularly linezolid, with pharmacokinetic and pharmacodynamic profiles which produce promisingly improved clinical results. Summary Overall, MRSA is an important cause of pneumonia; optimal management strategies for improving morbidity and mortality are still under development.
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页码:178 / 184
页数:7
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