Department of Environmental Chemistry and Bioanalytics, Faculty of Chemistry, Nicolaus Copernicus University, Gagarin 7, 87-100 Torun, Poland.
Centre for Modern Interdisciplinary Technologies, Nicolaus Copernicus University, Wilenska 4, 87-100 Torun, Poland.
Molecules. 2020 May 31;25(11):2556. doi: 10.3390/molecules25112556.
Antibiotics were initially natural substances. However, nowadays, they also include synthetic drugs, which show their activity against bacteria, killing or inhibiting their growth and division. Thanks to these properties, many antibiotics have quickly found practical application in the fight against infectious diseases such as tuberculosis, syphilis, gastrointestinal infections, pneumonia, bronchitis, meningitis and septicemia. Antibiotic resistance is currently a detrimental problem; therefore, in addition to the improvement of antibiotic therapy, attention should also be paid to active metabolites in the body, which may play an important role in exacerbating the existing problem. Taking into account the clinical, cognitive and diagnostic purposes of drug monitoring, it is important to select an appropriate analytical method that meets all the requirements. The detection and identification of the microorganism responsible for the infection is also an essential factor in the implementation of appropriate antibiotic therapy. In recent years, clinical microbiology laboratories have experienced revolutionary changes in the way microorganisms are identified. The MALDI-TOF MS technique may be interesting, especially in some areas where a quick analysis is required, as is the case with clinical microbiology. This method is not targeted, which means that no prior knowledge of the infectious agent is required, since identification is based on a database match.
抗生素最初是天然物质。然而,如今它们还包括具有抗菌活性的合成药物,可以杀死或抑制细菌的生长和分裂。由于这些特性,许多抗生素在对抗结核病、梅毒、胃肠道感染、肺炎、支气管炎、脑膜炎和败血症等传染病方面迅速找到了实际应用。抗生素耐药性目前是一个有害的问题;因此,除了改善抗生素治疗外,还应注意体内的活性代谢物,它们可能在加剧现有问题方面发挥重要作用。考虑到药物监测的临床、认知和诊断目的,选择符合所有要求的合适分析方法很重要。检测和识别导致感染的微生物也是实施适当抗生素治疗的一个重要因素。近年来,临床微生物学实验室在鉴定微生物的方式上经历了革命性的变化。MALDI-TOF MS 技术可能很有趣,特别是在需要快速分析的某些领域,如临床微生物学。这种方法是非靶向的,这意味着不需要事先了解传染病原体,因为鉴定是基于数据库匹配。