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幽门螺杆菌:根除幽门螺杆菌的抗菌药物和药物递送系统概述

Helicobacter pylori: an overview on antimicrobials and drug delivery systems for its eradication.

作者信息

El-Zahaby Sally A, Kassem Abeer A, El-Kamel Amal H

机构信息

Department of Pharmaceutics, Pharos University in Alexandria, Canal El- Mahmoudia Street, Smouha. Alexandria, Egypt, P.O. Box 37, Sidi Gaber, Alexandria 21311, Egypt.

出版信息

Curr Drug Deliv. 2014;11(3):306-12. doi: 10.2174/1567201811666140327145049.

Abstract

Since the discovery of Helicobacter pylori (H. pylori) in the early 1980s, its eradication has been one of the most important global challenges in gastroenterology. Various circumstances make the treatment with antimicrobials particularly difficult. One problem has been that antibiotics commonly used were designed for the treatment of infections throughout the body rather than for delivering high concentrations locally within the stomach. Many gastroretentive dosage forms were developed in order to eradicate the infection, yet additional advancements are still needed to eliminate the infection completely and decrease its prevalence worldwide. An overview on different antimicrobials and a literature survey about different drug delivery systems used in eradication of H. pylori infection are presented in this review.

摘要

自20世纪80年代初发现幽门螺杆菌(H. pylori)以来,根除该菌一直是胃肠病学领域最重要的全球性挑战之一。各种情况使得使用抗菌药物进行治疗尤为困难。一个问题是,常用的抗生素是为治疗全身感染而设计的,而非用于在胃内局部递送高浓度药物。为了根除感染,人们开发了许多胃滞留剂型,但仍需要进一步改进,以彻底消除感染并降低其在全球的流行率。本综述介绍了不同抗菌药物的概况以及关于根除幽门螺杆菌感染所使用的不同给药系统的文献调查。

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