School of Engineering, Center for Biomedical Engineering, Institute for Molecular and Nanoscale Innovation, Brown University, Providence, Rhode Island 02912, United States.
Department of Chemistry, Brown University, Providence, Rhode Island 02912, United States.
ACS Infect Dis. 2021 Apr 9;7(4):695-720. doi: 10.1021/acsinfecdis.0c00890. Epub 2021 Mar 18.
Bacterial infections are a major threat to human health, exacerbated by increasing antibiotic resistance. These infections can result in tremendous morbidity and mortality, emphasizing the need to identify and treat pathogenic bacteria quickly and effectively. Recent developments in detection methods have focused on electrochemical, optical, and mass-based biosensors. Advances in these systems include implementing multifunctional materials, microfluidic sampling, and portable data-processing to improve sensitivity, specificity, and ease of operation. Concurrently, advances in antibacterial treatment have largely focused on targeted and responsive delivery for both antibiotics and antibiotic alternatives. Antibiotic alternatives described here include repurposed drugs, antimicrobial peptides and polymers, nucleic acids, small molecules, living systems, and bacteriophages. Finally, closed-loop therapies are combining advances in the fields of both detection and treatment. This review provides a comprehensive summary of the current trends in detection and treatment systems for bacterial infections.
细菌感染对人类健康构成重大威胁,而抗生素耐药性的增加则使情况更加恶化。这些感染可能导致极高的发病率和死亡率,因此需要快速有效地识别和治疗致病菌。最近的检测方法发展集中在电化学、光学和基于质量的生物传感器上。这些系统的进展包括实施多功能材料、微流控采样和便携式数据处理,以提高灵敏度、特异性和操作简便性。与此同时,抗菌治疗的进展主要集中在抗生素和抗生素替代品的靶向和响应性递送上。这里描述的抗生素替代品包括重新利用的药物、抗菌肽和聚合物、核酸、小分子、活体系统和噬菌体。最后,闭环疗法将检测和治疗领域的进展结合在一起。本文综述了细菌感染的检测和治疗系统的当前趋势。