Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Medicina Interna, UNIFESP, São Paulo, SP, Brazil; Cardiff University, Department of Infection and Immunity, Cardiff, United Kingdom.
Cardiff University, Department of Infection and Immunity, Cardiff, United Kingdom.
Braz J Infect Dis. 2020 May-Jun;24(3):239-246. doi: 10.1016/j.bjid.2020.04.010. Epub 2020 May 15.
Due to the emergence of multi-drug resistant bacteria, and the evident limitation in therapeutic options, alternatives to combat bacterial infections have been sought. One of these is phage therapy, which is the use of bacterial viruses to kill pathogenic bacteria responsible for the infection. These viruses called bacteriophages are very abundant organisms in the world and are harmless to humans. There are several advantages in using phage therapy, especially against multi-drug resistant pathogens, which tend to be dominated by individual strains. The advantages include fewer collateral effects such as lower disturbance of gut microbiota and less antimicrobials consumption, which itself leads to reducing antibiotic resistance rates. Unfortunately, few clinical studies have been initiated in Brazil and this area is little explored in our country. This manuscript describes clinical evidence of successful phage utilization on pathogens considered a threat in Brazil, highlighting the benefits of a possible phage utilization as an important tool to combat antimicrobial resistance in our country.
由于多药耐药菌的出现,以及治疗选择明显受限,人们一直在寻找对抗细菌感染的替代方法。其中一种方法是噬菌体疗法,即利用细菌病毒来杀死导致感染的致病菌。这些被称为噬菌体的病毒在世界上非常丰富,对人类无害。使用噬菌体疗法有几个优点,尤其是针对多药耐药病原体,因为它们往往由单一菌株主导。这些优点包括较少的副作用,例如较少干扰肠道微生物群和较少使用抗生素,这本身就会降低抗生素耐药率。不幸的是,巴西很少开展临床研究,这方面在我国也很少被探索。本文描述了在巴西被认为是威胁的病原体中成功利用噬菌体的临床证据,强调了噬菌体作为一种重要工具来对抗我国抗菌药物耐药性的可能利用的益处。