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细菌感染管理的进展和前景及植物疗法模式的发展。

Progress and prospects in the management of bacterial infections and developments in Phytotherapeutic modalities.

机构信息

Department of Eastern Medicine, Government College University Faisalabad, Faisalabad, Pakistan.

Department of Allied Health Sciences, Sargodha Medical College, University of Sargodha, Sargodha, Pakistan.

出版信息

Clin Exp Pharmacol Physiol. 2020 Jul;47(7):1107-1119. doi: 10.1111/1440-1681.13282. Epub 2020 Mar 15.

DOI:10.1111/1440-1681.13282
PMID:32064656
Abstract

The advent of antibiotics revolutionized medical care resulting in significantly reduced mortality and morbidity caused by infectious diseases. However, excessive use of antibiotics has led to the development of antibiotic resistance and indeed, the incidence of multidrug-resistant pathogens is considered as a major disadvantage in medication strategy, which has led the scholar's attention towards innovative antibiotic sources in recent years. Medicinal plants contain a variety of secondary metabolites with a wide range of therapeutic potential against the resistant microbes. Therefore, the aim of this review is to explore the antibacterial potential of traditional herbal medicine against bacterial infections. More than 200 published research articles reporting the therapeutic potential of medicinal plants against drug-resistant microbial infections were searched using different databases such as Google Scholar, Science Direct, PubMed and the Directory of Open Access Journals (DOAJ), etc., with various keywords like medicinal plants having antibacterial activities, antimicrobial potentials, phytotherapy of bacterial infection, etc. Articles were selected related to the efficacious herbs easily available to local populations addressing common pathogens. Various plants such as Artocarpus communis, Rheum emodi, Gentiana lutea L., Cassia fistula L., Rosemarinus officinalis, Argemone maxicana L, Hydrastis canadensis, Citrus aurantifolia, Cymbopogon citrates, Carica papaya, Euphorbia hirta, etc, were found to have significant antibacterial activities. Although herbal preparations have promising potential in the treatment of multidrug-resistant bacterial infection, still more research is required to isolate phytoconstituents, their mechanism of action as well as to find their impacts on the human body.

摘要

抗生素的出现彻底改变了医疗护理,使因传染病导致的死亡率和发病率显著降低。然而,抗生素的过度使用导致了抗生素耐药性的产生,事实上,多药耐药病原体的发生率被认为是药物治疗策略的一个主要缺点,这使得学者们近年来关注创新的抗生素来源。药用植物含有多种具有广泛治疗潜力的次生代谢物,可对抗耐药微生物。因此,本综述的目的是探讨传统草药对细菌感染的抗菌潜力。使用不同的数据库,如 Google Scholar、Science Direct、PubMed 和开放获取期刊目录 (DOAJ) 等,使用“具有抗菌活性的药用植物”、“抗菌潜力”、“植物治疗细菌感染”等各种关键词,搜索了 200 多篇发表的研究文章,报道了药用植物对耐药微生物感染的治疗潜力。这些文章与当地人群容易获得的、针对常见病原体的有效草药有关。发现多种植物具有显著的抗菌活性,如 Artocarpus communis、Rheum emodi、Gentiana lutea L.、Cassia fistula L.、Rosmarinus officinalis、Argemone maxicana L.、Hydrastis canadensis、Citrus aurantifolia、Cymbopogon citrates、Carica papaya、Euphorbia hirta 等。虽然草药制剂在治疗多药耐药细菌感染方面具有很大的潜力,但仍需要更多的研究来分离植物成分、研究它们的作用机制以及发现它们对人体的影响。

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