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抗菌药物耐药时代感染伤口的治疗:当代替代治疗选择

Treatment of Infected Wounds in the Age of Antimicrobial Resistance: Contemporary Alternative Therapeutic Options.

作者信息

Karinja Sarah J, Spector Jason A

机构信息

From the Division of Plastic Surgery, Weill Cornell Medical College; Columbia University College of Physicians and Surgeons; and the Meinig School of Biomedical Engineering, Cornell University.

出版信息

Plast Reconstr Surg. 2018 Oct;142(4):1082-1092. doi: 10.1097/PRS.0000000000004799.

DOI:10.1097/PRS.0000000000004799
PMID:30252823
Abstract

As antibiotic resistance increases and antimicrobial options diminish, there is a pressing need to identify and develop new and/or alternative (non-antimicrobial-based) wound therapies. The authors describe the implications of antibiotic resistance on their current wound treatment paradigms and review the most promising non-antibiotic-based antimicrobial agents currently in research and development, with a focus on preclinical and human studies of therapeutic bacteriophages, antimicrobial peptides, cold plasma treatment, photodynamic therapy, honey, silver, and bioelectric dressings.

摘要

随着抗生素耐药性增加且抗菌选择减少,迫切需要识别和开发新的和/或替代的(非基于抗生素的)伤口治疗方法。作者描述了抗生素耐药性对其当前伤口治疗模式的影响,并综述了目前正在研发的最有前景的非抗生素类抗菌剂,重点关注治疗性噬菌体、抗菌肽、冷等离子体治疗、光动力疗法、蜂蜜、银和生物电敷料的临床前和人体研究。

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