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噬菌体疗法作为应对抗生素后时代的策略:初学者及专家指南

Phage therapy as strategy to face post-antibiotic era: a guide to beginners and experts.

作者信息

Royer Sabrina, Morais Aléxia Pinheiro, da Fonseca Batistão Deivid William

机构信息

Laboratory of Molecular Microbiology, Biomedical Science Institute, Federal University of Uberlandia, Uberlandia, Minas Gerais, Brazil.

School of Medicine, Federal University of Uberlandia, Uberlandia, Minas Gerais, Brazil.

出版信息

Arch Microbiol. 2021 May;203(4):1271-1279. doi: 10.1007/s00203-020-02167-5. Epub 2021 Jan 20.

Abstract

Interest in the therapeutic use of bacteriophages (phages) has emerged in recent years, driven mainly by the antimicrobial resistance crisis. This review aimed to summarize some important studies addressing the use of phages as a therapeutic alternative for multiresistant bacterial infections. To this end, a literature search was conducted to address the efficacy and versatility of phage therapy, the advantages and disadvantages of its use, and potential limitations for the application of phage therapy that need to be overcome, especially in Western countries. Thus, this review highlights that phage therapy may be a promising route in the treatment of infections caused by multidrug-resistant pathogens and that a combined approach has the potential to prolong the life of the current available antimicrobials. In addition, standardized clinical trials using monoclonal or polyclonal phages, alone or in combination with antimicrobials, are crucial to determine the real potential of these treatments in clinical practice.

摘要

近年来,主要受抗微生物药物耐药性危机的推动,人们对噬菌体的治疗用途产生了兴趣。本综述旨在总结一些重要研究,这些研究探讨了噬菌体作为多重耐药细菌感染治疗替代方案的应用。为此,我们进行了文献检索,以研究噬菌体疗法的疗效和多功能性、使用的优缺点以及噬菌体疗法应用中需要克服的潜在限制,特别是在西方国家。因此,本综述强调噬菌体疗法可能是治疗由多重耐药病原体引起的感染的一条有前景的途径,并且联合治疗方法有可能延长现有抗菌药物的使用寿命。此外,使用单克隆或多克隆噬菌体单独或与抗菌药物联合进行标准化临床试验,对于确定这些治疗方法在临床实践中的实际潜力至关重要。

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