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粪便微生物移植作为抗生素耐药菌定植患者的一种治疗选择。

Fecal microbial transplantation as a therapeutic option in patients colonized with antibiotic resistant organisms.

作者信息

Laffin Michael, Millan Braden, Madsen Karen L

机构信息

a Department of Medicine, CEGIIR: Center of Excellence for Gastrointestinal Inflammation and Immunity Research , University of Alberta , Edmonton , Alberta.

b Cumming School of Medicine , University of Calgary , Calgary , Alberta.

出版信息

Gut Microbes. 2017 May 4;8(3):221-224. doi: 10.1080/19490976.2016.1278105. Epub 2017 Jan 6.

DOI:10.1080/19490976.2016.1278105
PMID:28059612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5479404/
Abstract

Despite increasing interest in fecal microbiota transplantation (FMT), its full therapeutic potential has yet to be determined. Since its increase in popularity, FMT has been shown to be highly effective in the treatment of both Clostridium difficile infection (CDI) and its recurrent form. Interest in FMT now expands well beyond the treatment of CDI to other processes with known associations to the microbiota such as antibiotic resistant infections, inflammatory bowel disease (IBD), hepatic encephalopathy, neuropsychiatric disorders, and metabolic disease. The rampant use and misuse of antibiotics in both medicine and agriculture has resulted in an increase in antibiotic resistant organisms which pose a significant risk to human health. The purpose of this commentary is to address the general issue of antibiotic resistance in the human microbiota and the restorative potential of FMT in this area.

摘要

尽管对粪便微生物群移植(FMT)的兴趣日益增加,但其全部治疗潜力尚未确定。自其 popularity 增加以来,FMT 已被证明在治疗艰难梭菌感染(CDI)及其复发形式方面非常有效。现在,对 FMT 的兴趣远远超出了 CDI 的治疗范围,扩展到了与微生物群有已知关联的其他病症,如抗生素耐药性感染、炎症性肠病(IBD)、肝性脑病、神经精神疾病和代谢疾病。医学和农业中抗生素的 rampant 使用和滥用导致了抗生素耐药生物的增加,这对人类健康构成了重大风险。本评论的目的是探讨人类微生物群中抗生素耐药性的一般问题以及 FMT 在该领域的恢复潜力。

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本文引用的文献

1
Reduction of Antibiotic Resistance Genes in Intestinal Microbiota of Patients With Recurrent Clostridium difficile Infection After Fecal Microbiota Transplantation.粪便微生物群移植后复发性艰难梭菌感染患者肠道微生物群中抗生素抗性基因的减少
Clin Infect Dis. 2016 Sep 1;63(5):710-1. doi: 10.1093/cid/ciw390. Epub 2016 Jun 17.
2
Fecal microbiota transplantation for the intestinal decolonization of extensively antimicrobial-resistant opportunistic pathogens: a review.粪便微生物移植用于广泛抗微生物耐药机会性病原体的肠道去定植:综述。
Infect Dis (Lond). 2016 Aug;48(8):587-92. doi: 10.1080/23744235.2016.1177199. Epub 2016 May 19.
3
Fecal Microbial Transplants Reduce Antibiotic-resistant Genes in Patients With Recurrent Clostridium difficile Infection.粪便微生物移植可减少复发性艰难梭菌感染患者体内的抗生素抗性基因。
Clin Infect Dis. 2016 Jun 15;62(12):1479-1486. doi: 10.1093/cid/ciw185. Epub 2016 Mar 29.
4
The effect of targeted decolonization on methicillin-resistant Staphylococcus aureus colonization or infection in a surgical intensive care unit.目标性去定植对外科重症监护病房耐甲氧西林金黄色葡萄球菌定植或感染的影响。
Am J Infect Control. 2016 May 1;44(5):533-8. doi: 10.1016/j.ajic.2015.12.007. Epub 2016 Feb 1.
5
Bacteremia caused by multidrug-resistant bacteria in a French university hospital center: 3 years of collection.法国一家大学医院中心耐多药细菌引起的菌血症:3年收集情况
Am J Infect Control. 2015 Sep 1;43(9):960-4. doi: 10.1016/j.ajic.2015.05.004. Epub 2015 Jun 14.
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