Chatterjee Maitrayee, Anju C P, Biswas Lalitha, Anil Kumar V, Gopi Mohan C, Biswas Raja
Amrita Center for Nanoscience and Molecular Medicine, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham, AIMS - Ponekkara, Cochin 682041, Kerala, India.
Department of Microbiology, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham, AIMS - Ponekkara, Cochin 682041, Kerala, India.
Int J Med Microbiol. 2016 Jan;306(1):48-58. doi: 10.1016/j.ijmm.2015.11.004. Epub 2015 Nov 28.
Pseudomonas aeruginosa is a leading cause of nosocomial infections and is responsible for ∼10% of all hospital-acquired infections worldwide. It continues to pose a therapeutic challenge because of the high rate of morbidity and mortality associated with it and the possibility of development of drug resistance during therapy. Standard antibiotic regimes against P. aeruginosa are increasingly becoming ineffective due to the rise in drug resistance. With the scope for developing new antibiotics being limited, alternative treatment options are gaining more and more attention. A number of recent studies reported complementary and alternative treatment options to combat P. aeruginosa infections. Quorum sensing inhibitors, phages, probiotics, anti-microbial peptides, vaccine antigens and antimicrobial nanoparticles have the potential to act against drug resistant strains. Unfortunately, most studies considering alternative treatment options are still confined in the pre-clinical stages, although some of these findings have tremendous potential to be turned into valuable therapeutics. This review is intended to raise awareness of several novel approaches that can be considered further for combating drug resistant P. aeruginosa infections.
铜绿假单胞菌是医院感染的主要致病菌,在全球所有医院获得性感染中约占10%。由于其相关的高发病率和死亡率以及治疗期间产生耐药性的可能性,它仍然构成治疗挑战。由于耐药性的增加,针对铜绿假单胞菌的标准抗生素治疗方案越来越无效。随着开发新抗生素的空间有限,替代治疗选择越来越受到关注。最近的一些研究报道了对抗铜绿假单胞菌感染的补充和替代治疗选择。群体感应抑制剂、噬菌体、益生菌、抗菌肽、疫苗抗原和抗菌纳米颗粒有潜力对抗耐药菌株。不幸的是,尽管其中一些发现有巨大潜力转化为有价值的治疗方法,但大多数考虑替代治疗选择的研究仍局限于临床前阶段。本综述旨在提高人们对几种可进一步考虑用于对抗耐药铜绿假单胞菌感染的新方法的认识。