Practical Geriatrics ›› 2025, Vol. 39 ›› Issue (4): 341-346.doi: 10.3969/j.issn.1003-9198.2025.04.004
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ZHANG Dian, CHEN Mingquan
Received:
2025-02-17
Online:
2025-04-20
Published:
2025-04-22
Contact:
CHEN Mingquan,Email:mingquanchen@fudan.edu.cn
CLC Number:
ZHANG Dian, CHEN Mingquan. Considerations on precision antimicrobial therapy for sepsis in the elderly[J]. Practical Geriatrics, 2025, 39(4): 341-346.
[1] 民政部,全国老龄办. 2023年度国家老龄事业发展公报[R/OL].(2024-10-12)[2025-02-17].https://www.gov.cn/lianbo/bumen/202410/content_6979487.htm. [2] SINGER M, DEUTSCHMAN C S, SEYMOUR C W, et al. The third international consensus definitions for sepsis and septic shock (sepsis-3)[J].JAMA, 2016,315(8):801-810. [3] RUDD K E, JOHNSON S C, AGESA K M, et al. Global, regional, and national sepsis incidence and mortality, 1990-2017: analysis for the Global Burden of Disease Study[J].Lancet, 2020, 395(10219):200-211. [4] FLEISCHMANN C, SCHERAG A, ADHIKARI N K J, et al. Assessment of global incidence and mortality of hospital-treated sepsis. Current estimates and limitations[J].Am J Respir Crit Care Med, 2016, 193(3):259-272. [5] WENG L, XU Y, YIN P, et al. National incidence and mortality of hospitalized sepsis in China[J].Crit Care, 2023,27(1):84. [6] ROWE T A, MCKOY J M. Sepsis in older adults[J].Infect Dis Clin North Am, 2017, 31(4):731-742. [7] GOTTS J E, MATTHAY M A. Sepsis: pathophysiology and clinical management[J].BMJ, 2016, 353:i1585. [8] CANCRO M P. Age-associated B cells[J].Annu Rev Immunol, 2020, 38:315-340. [9] AIELLO A, FARZANEH F, CANDORE G, et al. Immunosenescence and its hallmarks: how to oppose aging strategically? A review of potential options for therapeutic intervention[J].Front Immunol, 2019, 10:2247. [10]SANTORO A, BIENTINESI E, MONTI D. Immunosenescence and inflammaging in the aging process: age-related diseases or longevity?[J].Ageing Res Rev, 2021,71:101422. [11]刘超, 毛智, 周飞虎. 老年脓毒症的研究进展[J].解放军医学杂志, 2017, 42(6):563-568. [12]许培, 吴玲玉, 马丽华, 等. 老年重症患者急性皮肤衰竭现状及危险因素分析[J].中华急危重症护理杂志, 2024, 5(5):401-407. [13]张新超, 温伟, 董士民. 老年脓毒症诊断与治疗中的困难与挑战[J].中国急救医学, 2024, 44(5):376-384. [14]MARTIN G S, MANNINO D M, EATON S, et al. The epidemiology of sepsis in the United States from 1979 through 2000[J].N Engl J Med, 2003, 348(16):1546-1554. [15]边素艳, 曹丰, 程庆砾, 等. 感染诱发的老年多器官功能障碍综合征诊治中国专家共识[J].中国实用内科杂志, 2018,38(8):727-738. [16]GRITTE R B, SOUZA-SIQUEIRA T, RUI C, et al. Why septic patients remain sick after hospital discharge?[J].Front Immunol, 2021, 11:605666. [17]KINGREN M S, STARR M E, SAITO H. Divergent sepsis pathophysiology in older adults[J].Antioxid Redox Signal, 2021,35(16):1358-1375. [18]DI BELLA S, ANTONELLO R M, SANSON G, et al. Anaerobic bloodstream infections in Italy (ITANAEROBY): a 5-year retrospective nationwide survey[J].Anaerobe, 2022,75:102583. [19]HONORATO M O, SOUSA FILHO J T, HONORATO JUNIOR L F B, et al. Atrial fibrillation and sepsis in elderly patients and their associaton with in-hospital mortality[J].Arq Bras Cardiol, 2023, 120(3):e20220295. [20]SHANKAR-HARI M, SAHA R, WILSON J, et al. Rate and risk factors for rehospitalisation in sepsis survivors: systematic review and meta-analysis[J].Intensive Care Med, 2020, 46(4):619-636. [21]AMSTERDAM D, OSTROV B E. The impact of the microbiome on immunosenescence[J].Immunol Invest, 2018,47(8):801-811. [22]GAO H, NEPOVIMOVA E, ADAM V, et al. Age-associated changes in innate and adaptive immunity: role of the gut microbiota[J].Front Immunol, 2024, 15:1421062. [23]DESHMUKH H S, LIU Y, MENKITI O R, et al. The microbiota regulates neutrophil homeostasis and host resistance to Escherichia coli K1 sepsis in neonatal mice[J].Nat Med, 2014,20(5):524-530. [24]关万涛. 老年肺炎相关性脓毒症临床特征及影响因素[J].中国老年学杂志, 2020, 40(1):89-92. [25]LEIBOVICI-WEISSMAN Y, TAU N, YAHAV D. Bloodstream infections in the elderly: what is the real goal?[J].Aging Clin Exp Res, 2021, 33(4):1101-1112. [26]TANG F, YUAN H, LI X, et al. Effect of delayed antibiotic use on mortality outcomes in patients with sepsis or septic shock: a systematic review and meta-analysis[J].Int Immunopharmacol, 2024, 129:111616. [27]EVANS L, RHODES A, ALHAZZANI W, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021[J].Intensive Care Med, 2021,47(11):1181-1247. [28]KLOMPAS M, RHEE C. Antibiotics: it is all about timing, isn’t it?[J].Curr Opin Crit Care, 2022, 28(5):513-521. [29]KARAKIKE E, GIAMARELLOS-BOURBOULIS E J, KYPRIANOU M, et al. Coronavirus disease 2019 as cause of viral sepsis: a systematic review and meta-analysis[J].Crit Care Med, 2021, 49(12):2042-2057. [30]PSARRAKIS C, GIAMARELLOS-BOURBOULIS E J. Advancements in the pharmacological management of sepsis in the elderly[J].Expert Opin Pharmacother, 2023, 24(10):1171-1187. [31]宁永忠, 王辉. 病毒性脓毒症的流行病学和处置[J].中华医院感染学杂志, 2018, 28(10):1446-1449. [32]张璐, 李响, 夏世宏, 等. 脓毒症休克的诊治在精准医学时代下的发展及临床应用[J].中华重症医学电子杂志: 网络版, 2021, 7(2):169-173. [33]PAK T R, RHEE C, KLOMPAS M. Timing and spectrum of antibiotic treatment for suspected sepsis and septic shock: why so controversial?[J].Infect Dis Clin North Am, 2022,36(4):719-733. [34]BRANDENBURG K, FERRER-ESPADA R, MARTINEZ-DE-TEJADA G, et al. A comparison between SARS-CoV-2 and gram-negative bacteria-induced hyperinflammation and sepsis[J].Int J Mol Sci, 2023, 24(20):15169. [35]THORNDIKE J, KOLLEF M H. Culture-negative sepsis[J].Curr Opin Crit Care, 2020, 26(5):473-477. [36]LANDERSDORFER C B, NATION R L. Key challenges in providing effective antibiotic therapy for critically ill patients with bacterial sepsis and septic shock[J].Clin Pharmacol Ther, 2021, 109(4):892-904. [37]ALLEN J M, SURAJBALI D, NGUYEN D Q, et al. Impact of piperacillin-tazobactam dosing in septic shock patients using real-world evidence: an observational, retrospective cohort study[J].Ann Pharmacother, 2023, 57(6):653-661. [38]LANCKOHR C, BRACHT H. Antimicrobial stewardship[J].Curr Opin Crit Care, 2022, 28(5):551-556. [39]VAN DER POLL T. Immunotherapy of sepsis[J].Lancet Infect Dis, 2001, 1(3):165-174. [40]ROBERTS J A, ABDUL-AZIZ M H, LIPMAN J, et al. Individualised antibiotic dosing for patients who are critically ill: challenges and potential solutions[J].Lancet Infect Dis, 2014, 14(6):498-509. [41]ULLDEMOLINS M, ROBERTS J A, RELLO J, et al. The effects of hypoalbuminaemia on optimizing antibacterial dosing in critically ill patients[J].Clin Pharmacokinet, 2011,50(2):99-110. [42]PLATA-MENCHACA E P, FERRER R, RUIZ RODRÍGUEZ J C, et al. Antibiotic treatment in patients with sepsis: a narrative review[J].Hosp Pract, 2022, 50(3):203-213. [43]DE LA FUENTE-NUNEZ C, CESARO A, HANCOCK R E W. Antibiotic failure: beyond antimicrobial resistance[J].Drug Resist Updat, 2023, 71:101012. [44]TONG S Y C, LYE D C, YAHAV D, et al. Effect of vancomycin or daptomycin with vs without an antistaphylococcal β-lactam on mortality, bacteremia, relapse, or treatment failure in patients with MRSA bacteremia: a randomized clinical trial[J].JAMA, 2020, 323(6):527-537. [45]FAIX J D. Biomarkers of sepsis[J].Crit Rev Clin Lab Sci, 2013, 50(1):23-36. [46]VELISSARIS D, ZAREIFOPOULOS N, LAGADINOU M, et al. Procalcitonin and sepsis in the emergency department: an update[J].Eur Rev Med Pharmacol Sci, 2021,25(1):466-479. [47]HANEY E F, HANCOCK R E W. Addressing antibiotic failure: beyond genetically encoded antimicrobial resistance[J].Front Drug Discov, 2022, 2:892975. [48]汪浪, 张智琪, 沈雪, 等. 老年脓毒症患者临床特征及预后影响因素[J].中国感染控制杂志, 2022, 21(4):377-383. [49]中国医疗保健国际交流促进会急诊医学分会, 中华医学会急诊医学分会,中国老年学会基础与转化医学分会.老年急危重症容量管理急诊专家共识[J].中国急救医学, 2024, 44(6):461-472. [50]YANG J, LIU S, LU J, et al. An area under the concentration-time curve threshold as a predictor of efficacy and nephrotoxicity for individualizing polymyxin B dosing in patients with carbapenem-resistant gram-negative bacteria[J].Crit Care, 2022, 26(1):320. [51]BROOKS B D, BROOKS A E. Therapeutic strategies to combat antibiotic resistance[J].Adv Drug DelivRev, 2014, 78:14-27. [52]JENSEN P Ø, MØLLER S A, LERCHE C J, et al. Improving antibiotic treatment of bacterial biofilm by hyperbaric oxygen therapy: not just hot air[J].Biofilm, 2019, 1:100008. [53]刘娟, 左园弋, 康俊杰, 等. 右美托咪定联合咪达唑仑镇静方案在老年脓毒症通气治疗中的应用[J].中国老年学杂志, 2024, 44(5):1069-1071. [54]MILLER W D, KESKEY R, ALVERDY J C. Sepsis and the microbiome: a vicious cycle[J].J Infect Dis, 2021, 223(12Suppl 2):S264-S269. [55]ZHAO W J, LIU G E, TIAN Y, et al. What’s new in trauma 2020[J].Chin J Traumatol, 2021, 24(2):63-68. [56]DULHUNTY J M, BRETT S J, DE WAELE J J, et al. Continuous vs intermittent β-lactam antibiotic infusions in critically ill patients with sepsis: the BLING III randomized clinical trial[J].JAMA, 2024, 332(8):629-637. [57]JONES A E, SHAPIRO N I, TRZECIAK S, et al. Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial[J].JAMA, 2010,303(8):739-746. [58]CHEN H, XU J, WANG X, et al. Early lactate-guided resuscitation of elderly septic patients[J].J Intensive Care Med, 2022, 37(5):686-692. [59]SEVRANSKY J E, ROTHMAN R E, HAGER D N, et al. Effect of vitamin C, thiamine, and hydrocortisone on ventilator- and vasopressor-free days in patients with sepsis: the VICTAS randomized clinical trial[J].JAMA, 2021,325(8):742-750. [60]HUANG M, CAI S, SU J. The pathogenesis of sepsis and potential therapeutic targets[J].Int J Mol Sci, 2019,20(21):5376. [61]VINCENT J L. Current sepsis therapeutics[J].EBioMedicine, 2022, 86:104318. [62]HOTCHKISS R S, MONNERET G, PAYEN D. Sepsis-induced immunosuppression: from cellular dysfunctions to immunotherapy[J].Nat Rev Immunol, 2013,13(12):862-874. [63]ZRELOVS N, KURBATSKA V, RUDEVICA Z, et al. Sorting out the superbugs: potential of sortase A inhibitors among other antimicrobial strategies to tackle the problem of antibiotic resistance[J].Antibiotics, 2021, 10(2):164. |
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