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细菌耐药机制的突破及其应对的潜在方法。

Breakthroughs in bacterial resistance mechanisms and the potential ways to combat them.

作者信息

Khameneh Bahman, Diab Roudayna, Ghazvini Kiarash, Fazly Bazzaz Bibi Sedigheh

机构信息

Department of Pharmaceutical Control, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.

CNRS, SRSMC, UMR 7565, Vandoeuvre-lès-Nancy, France; Université de Lorraine, UMR 7565, Nancy, France.

出版信息

Microb Pathog. 2016 Jun;95:32-42. doi: 10.1016/j.micpath.2016.02.009. Epub 2016 Feb 18.

Abstract

Multidrug-resistant (MDR) bacteria have increased at an alarming rate over recent decades and cause serious problems. The emergence of resistant infections caused by these bacteria has led to mortality and morbidity; consequently there is an urgent need to find solution for combating bacterial resistance. In the present paper, first, some mechanisms of antibiotic resistance such as changing the antibacterial agent's uptake and biofilm formation are discussed. Following, for removing the antibacterial resistance, a wide range of approaches like developing new generations of antibiotics, combination therapy, natural antibacterial substances and applying nanoparticulate systems have been explained. Among them, antibiotic delivery via nanoparticles, has been attracted more attention recently, so discussed in present review, separately.

摘要

近几十年来,多重耐药(MDR)细菌以惊人的速度增加,并引发了严重问题。这些细菌引起的耐药性感染的出现导致了死亡率和发病率上升;因此,迫切需要找到对抗细菌耐药性的解决方案。在本文中,首先讨论了一些抗生素耐药机制,如改变抗菌剂的摄取和生物膜形成。随后,为了消除抗菌耐药性,已经解释了一系列方法,如开发新一代抗生素、联合治疗、天然抗菌物质和应用纳米颗粒系统。其中,通过纳米颗粒进行抗生素递送最近受到了更多关注,因此在本综述中单独进行了讨论。

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