مراجعة

Treatment of Pseudomonas and Staphylococcus Bronchopulmonary Infection in Patients with Cystic Fibrosis

التفاصيل البيبلوغرافية
العنوان: Treatment of Pseudomonas and Staphylococcus Bronchopulmonary Infection in Patients with Cystic Fibrosis
المؤلفون: Rashmi Ranjan Das, Sushil Kumar Kabra, Meenu Singh
بيانات النشر: The Scientific World Journal
سنة النشر: 2013
المجموعة: Hindawi Publishing Corporation
مصطلحات موضوعية: Pulmonology
الوصف: The optimal antibiotic regimen is unclear in management of pulmonary infections due to pseudomonas and staphylococcus in cystic fibrosis (CF). We systematically searched all the published literature that has considered the evidence for antimicrobial therapies in CF till June 2013. The key findings were as follows: inhaled antipseudomonal antibiotic improves lung function, and probably the safest/most effective therapy; antistaphylococcal antibiotic prophylaxis increases the risk of acquiring P. aeruginosa; azithromycin significantly improves respiratory function after 6 months of treatment; a 28-day treatment with aztreonam or tobramycin significantly improves respiratory symptoms and pulmonary function; aztreonam lysine might be superior to tobramycin inhaled solution in chronic P. aeruginosa infection; oral ciprofloxacin does not produce additional benefit in those with chronic persistent pseudomonas infection but may have a role in early or first infection. As it is difficult to establish a firm recommendation based on the available evidence, the following factors must be considered for the choice of treatment for each patient: antibiotic related (e.g., safety and efficacy and ease of administration/delivery) and patient related (e.g., age, clinical status, prior use of antibiotics, coinfection by other organisms, and associated comorbidities ones).
نوع الوثيقة: review
اللغة: English
العلاقة: https://doi.org/10.1155/2013/645653Test
DOI: 10.1155/2013/645653
الإتاحة: https://doi.org/10.1155/2013/645653Test
حقوق: Copyright © 2013 Rashmi Ranjan Das et al.
رقم الانضمام: edsbas.399837E0
قاعدة البيانات: BASE