Objective: To systematic review the efficacy and safety of ceftazidime avibactam (CAZ/AVI) and colistin/polymyxin B in the treatment of carbapenem-resistant Gram-negative bacilli infection.Methods: Cochrane Library, PubMed, Embase, CNKI and Wanfang data were searched to collect randomized controlled or cohort studies of ceftazidime avibactam and colistin/polymyxin B in the treatment of carbapenem-resistant Gram-negative bacilli infection. The retrieval time was from the establishment of each database to May 2022. After literature screening and data extraction, NOS was used to evaluate the quality of literature.Results: Totally 7 studies were finally enrolled, with a total of 801 patients. The results of Meta-analysis showed that the mortality rate and incidence of kidney injury in CAZ/AVI group were lower than those in colistin/polymyxin B group (P<0.005), while the clinical cure rate and bacterial clearance rate were higher than those in colistin/polymyxin B group (P<0.005).Conclusion: The clinical efficacy and safety of CAZ/AVI in the treatment of carbapenem-resistant Gram-negative bacilli infection showed better efficacy and lower incidence of kidney injury compared with the control group.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |