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局部金黄色葡萄球菌 - 靶向内溶素可显著改善特应性皮炎患者的症状和生活质量。

Topical S. aureus - Targeting Endolysin Significantly Improves Symptoms and QoL in Individuals With Atopic Dermatitis.

出版信息

J Drugs Dermatol. 2021 Dec 1;20(12):1323-1328. doi: 10.36849/jdd.6363.

Abstract

Atopic dermatitis (AD) is a chronic skin condition affecting an increasing number of children and adults whose quality of life is impacted by chronic itch and pain. It is characterized by an altered epidermal barrier, skin inflammation, and skin microbiome dysbiosis particularly over-colonization of Staphylococcus aureus. The efficacy and tolerance of a cream containing a S. aureus-targeting technology (endolysin) was assessed in an open-label, two-week study in children and adults with mild-to-moderate atopic dermatitis. A total of 43 patients ranging from 7 months to 57 years old were included and all patients finished the study without any tolerance problem. Disease severity, measured with SCORAD, quickly reduced by 43% in 7 days and by 68 % in 14 days. The benefit was perceived by the whole panel with a marked improvement in overall QoL. This study shows the efficacy of a highly specific S. aureus-targeted technology in alleviating symptoms and improving QoL in children and adults with atopic dermatitis. It could also be beneficial in reducing and preventing flares in subjects with S. aureus load due to its good tolerance and specific action. J Drugs Dermatol. 2021;20(12):1323-1328. doi:10.36849/JDD.6363.

摘要

特应性皮炎(AD)是一种慢性皮肤病,越来越多的儿童和成人受到影响,其生活质量受到慢性瘙痒和疼痛的影响。其特征为表皮屏障改变、皮肤炎症和皮肤微生物组失调,尤其是金黄色葡萄球菌过度定植。在一项为期两周的开放性标签研究中,评估了一种含有金黄色葡萄球菌靶向技术(内溶素)的乳膏在儿童和成人轻度至中度特应性皮炎患者中的疗效和耐受性。共纳入 43 名年龄在 7 个月至 57 岁的患者,所有患者均无任何耐受性问题完成了研究。疾病严重程度用 SCORAD 进行评估,在 7 天内迅速降低了 43%,在 14 天内降低了 68%。整个专家组都认为治疗有效,整体生活质量显著改善。这项研究表明,针对金黄色葡萄球菌的高度特异性靶向技术在缓解症状和改善儿童和成人特应性皮炎患者的生活质量方面具有疗效。由于其良好的耐受性和特异性作用,它也可能有助于减少和预防金黄色葡萄球菌负荷患者的发作。J 皮肤病药物杂志。2021;20(12):1323-1328. doi:10.36849/JDD.6363.

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