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多药耐药鲍曼不动杆菌的新兴治疗方法。

Emerging therapies for multidrug resistant Acinetobacter baumannii.

机构信息

Unit of Infectious Disease, Microbiology, and Preventive Medicine, Institute of Biomedicine of Sevilla (IBiS), University Hospital Virgen del Rocío/CSIC/University of Sevilla, 41013, Sevilla, Spain.

出版信息

Trends Microbiol. 2013 Mar;21(3):157-63. doi: 10.1016/j.tim.2012.12.002. Epub 2013 Jan 11.

Abstract

The global emergence of multidrug resistant Acinetobacter baumannii has reduced the number of clinically available antibiotics that retain activity against this pathogen. For this reason, the development of novel prevention and treatment strategies for infections caused by A. baumannii is necessary. Several studies have begun to characterize nonantibiotic approaches that utilize novel mechanisms of action to achieve antibacterial activity. Recent advances in phage therapy, iron chelation therapy, antimicrobial peptides, prophylactic vaccination, photodynamic therapy, and nitric oxide (NO)-based therapies have all been shown to have activity against A. baumannii. However, before these approaches can be used clinically there are still limitations and remaining questions that must be addressed.

摘要

全球耐多药鲍曼不动杆菌的出现,减少了对这种病原体仍具有活性的临床可用抗生素的数量。因此,有必要开发针对鲍曼不动杆菌感染的新型预防和治疗策略。一些研究已经开始描述利用新型作用机制实现抗菌活性的非抗生素方法。噬菌体治疗、铁螯合疗法、抗菌肽、预防性疫苗接种、光动力疗法和基于一氧化氮 (NO) 的疗法的最新进展均显示对鲍曼不动杆菌具有活性。然而,在这些方法能够在临床上使用之前,仍然存在需要解决的限制和遗留问题。

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