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感染诊断与管理的现状及未来展望

Current and Future Perspectives in the Diagnosis and Management of Infection.

作者信息

Shatila Malek, Thomas Anusha Shirwaikar

机构信息

Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

出版信息

J Clin Med. 2022 Aug 30;11(17):5086. doi: 10.3390/jcm11175086.

Abstract

() is a prevalent organism infecting almost half the global population. It is a significant concern, given its associated risk of gastric cancer, which is the third leading cause of cancer death globally. Infection can be asymptomatic or present with dyspeptic symptoms. It may also present with alarm symptoms in the case of progression to cancer. Diagnosis can be achieved non-invasively (breath tests, stool studies, or serology) or invasively (rapid urease test, biopsy, or culture). Treatment involves acid suppression and regimens containing several antibiotics and is guided by resistance rates. Eradication is essential, as it lowers the risk of complications and progression to cancer. Follow-up after eradication is similarly important, as the risk of cancer progression remains. There have been many recent advances in both diagnosis and treatment of . In particular, biosensors may be effective diagnostic tools, and nanotechnology, vaccines, and potassium-competitive acid blockers may prove effective in enhancing eradication rates.

摘要

()是一种感染了近全球一半人口的常见病原体。鉴于其与胃癌相关的风险,这是一个重大问题,胃癌是全球癌症死亡的第三大主要原因。感染可能无症状或表现为消化不良症状。在进展为癌症的情况下,也可能出现警示症状。诊断可以通过非侵入性方法(呼气试验、粪便检测或血清学)或侵入性方法(快速尿素酶试验、活检或培养)实现。治疗包括抑酸以及包含多种抗生素的方案,并以耐药率为指导。根除至关重要,因为它降低了并发症和进展为癌症的风险。根除后的随访同样重要,因为癌症进展的风险仍然存在。最近在()的诊断和治疗方面都有许多进展。特别是,生物传感器可能是有效的诊断工具,纳米技术、疫苗和钾竞争性酸阻滞剂可能在提高根除率方面证明是有效的。

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