Johnson Tylor J, Shank Janette M, Johnson Jeremiah G
Department of Microbiology, The University of Tennessee, Knoxville TN, USA.
Front Microbiol. 2017 Mar 23;8:487. doi: 10.3389/fmicb.2017.00487. eCollection 2017.
is the leading cause of bacteria-derived gastroenteritis worldwide. In the developed world, is usually acquired by consuming under-cooked poultry, while in the developing world it is often obtained through drinking contaminated water. Once consumed, the bacteria adhere to the intestinal epithelium or mucus layer, causing toxin-mediated inhibition of fluid reabsorption from the intestine and invasion-induced inflammation and diarrhea. Traditionally, severe or prolonged cases of campylobacteriosis have been treated with antibiotics; however, overuse of these antibiotics has led to the emergence of antibiotic-resistant strains. As the incidence of antibiotic resistance, emergence of post-infectious diseases, and economic burden associated with increases, it is becoming urgent that novel treatments are developed to reduce numbers in commercial poultry and campylobacteriosis in humans. The purpose of this review is to provide the current status of present and proposed treatments to combat infection in humans and colonization in animal reservoirs. These treatments include anti- compounds, probiotics, bacteriophage, vaccines, and anti bacteriocins, all of which may be successful at reducing the incidence of campylobacteriosis in humans and/or colonization loads in poultry. In addition to reviewing treatments, we will also address several proposed targets that may be used in future development of novel anti- treatments.
是全球细菌性肠胃炎的主要病因。在发达国家,通常通过食用未煮熟的家禽感染,而在发展中国家,往往是通过饮用受污染的水感染。一旦摄入,细菌会附着在肠道上皮或黏液层,导致毒素介导的肠道液体重吸收抑制以及侵袭引发的炎症和腹泻。传统上,严重或长期的弯曲杆菌病病例使用抗生素治疗;然而,这些抗生素的过度使用导致了抗生素耐药菌株的出现。随着抗生素耐药性的发生率、感染后疾病的出现以及与之相关的经济负担增加,开发新的治疗方法以减少商业家禽中的数量以及人类弯曲杆菌病变得迫在眉睫。本综述的目的是提供当前针对人类感染和动物宿主定植的现有及提议治疗方法的现状。这些治疗方法包括抗菌化合物、益生菌、噬菌体、疫苗和抗细菌素,所有这些都可能成功降低人类弯曲杆菌病的发生率和/或家禽中的定植负荷。除了综述治疗方法外,我们还将探讨几个可能用于未来新型抗菌治疗开发的提议靶点。