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感染的优化管理

The Optimal Management of Infections.

作者信息

Ursu Ramona Gabriela, Luchian Ionut, Damian Costin, Porumb-Andrese Elena, Cobzaru Roxana Gabriela, Nichitean Giorgio, Ripa Carmen, Costin Diana, Sandu Darius, Andrioaie Ioana-Maria, Iancu Luminita Smaranda

机构信息

Department of Preventive Medicine and Interdisciplinarity (IX)-Microbiology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.

Department of Periodontology, Faculty of Dental Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.

出版信息

Microorganisms. 2022 Dec 1;10(12):2388. doi: 10.3390/microorganisms10122388.

DOI:10.3390/microorganisms10122388
PMID:36557641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9784239/
Abstract

is one of the most frequent etiologic agents of STDs (sexually transmitted diseases). Untreated asymptomatic gonococcal infection in women can lead to spreading of the infection in the sexually active population and could lead to late consequences, such as sterility or ectopic pregnancies. One important issue about is its increasing resistance to antibiotics. This paper summarized the newest molecular antimicrobial resistance (AMR) detection assays for connected with the latest therapeutic antimicrobials and gonococcal vaccine candidates. The assays used to detect AMR varied from the classical minimal inhibitory concentration (MIC) detection to whole-genome sequencing. New drugs against multi drug resistant (MDR) have been proposed and were evaluated in vivo and in vitro as being efficient in decreasing the burden. In addition, anti- vaccine candidates are being researched, which have been assessed by multiple techniques. With the efforts of many researchers who are studying the detection of antimicrobial resistance in this bacterium and identifying new drugs and new vaccine candidates against it, there is hope in reducing the gonorrhea burden worldwide.

摘要

是性传播疾病(STD)最常见的病原体之一。女性未经治疗的无症状淋病感染可导致感染在性活跃人群中传播,并可能导致诸如不育或异位妊娠等晚期后果。关于它的一个重要问题是其对抗生素的耐药性不断增加。本文总结了与最新治疗性抗菌药物和淋病疫苗候选物相关的淋病最新分子抗菌药物耐药性(AMR)检测方法。用于检测AMR的方法从经典的最低抑菌浓度(MIC)检测到全基因组测序不等。已提出针对多重耐药(MDR)淋病的新药,并在体内和体外进行了评估,结果表明它们在减轻淋病负担方面有效。此外,正在研究抗淋病疫苗候选物,这些候选物已通过多种技术进行评估。通过许多研究人员在研究该细菌抗菌药物耐药性检测以及鉴定针对它的新药和新疫苗候选物方面的努力,有望减轻全球淋病负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b331/9784239/9d1eefd4c718/microorganisms-10-02388-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b331/9784239/e21d1a755c05/microorganisms-10-02388-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b331/9784239/9d1eefd4c718/microorganisms-10-02388-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b331/9784239/e21d1a755c05/microorganisms-10-02388-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b331/9784239/9d1eefd4c718/microorganisms-10-02388-g002.jpg

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The Optimal Management of Infections.感染的优化管理
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本文引用的文献

1
Antibiotic combinations reduce Staphylococcus aureus clearance.抗生素联合治疗会降低金黄色葡萄球菌清除率。
Nature. 2022 Oct;610(7932):540-546. doi: 10.1038/s41586-022-05260-5. Epub 2022 Oct 5.
2
Repurposing the Ionophore, PBT2, for Treatment of Multidrug-Resistant Neisseria gonorrhoeae Infections.将离子载体 PBT2 再利用治疗耐多药淋病奈瑟菌感染。
Antimicrob Agents Chemother. 2022 Sep 20;66(9):e0231821. doi: 10.1128/aac.02318-21. Epub 2022 Aug 18.
3
Mutagenesis of the Loop 3 α-Helix of Neisseria gonorrhoeae TdfJ Inhibits S100A7 Binding and Utilization.
淋病奈瑟菌 TdfJ 环 3α-螺旋突变抑制 S100A7 结合和利用。
mBio. 2022 Aug 30;13(4):e0167022. doi: 10.1128/mbio.01670-22. Epub 2022 Jul 14.
4
Novel small molecules that increase the susceptibility of Neisseria gonorrhoeae to cationic antimicrobial peptides by inhibiting lipid A phosphoethanolamine transferase.通过抑制脂 A 磷酸乙醇胺转移酶增加淋病奈瑟菌对阳离子抗菌肽敏感性的新型小分子。
J Antimicrob Chemother. 2022 Aug 25;77(9):2441-2447. doi: 10.1093/jac/dkac204.
5
Europe-wide expansion and eradication of multidrug-resistant Neisseria gonorrhoeae lineages: a genomic surveillance study.欧洲范围内耐多药淋病奈瑟菌谱系的扩张和消除:一项基于基因组监测的研究。
Lancet Microbe. 2022 Jun;3(6):e452-e463. doi: 10.1016/S2666-5247(22)00044-1. Epub 2022 May 10.
6
Genomic surveillance and antimicrobial resistance in Neisseria gonorrhoeae isolates in Bangkok, Thailand in 2018.2018 年泰国曼谷淋病奈瑟菌分离株的基因组监测和抗菌药物耐药性。
J Antimicrob Chemother. 2022 Jul 28;77(8):2171-2182. doi: 10.1093/jac/dkac158.
7
Auranofin exerts antibacterial activity against Neisseria gonorrhoeae in a female mouse model of genital tract infection.金诺芬在女性生殖道感染小鼠模型中对淋病奈瑟菌具有抗菌活性。
PLoS One. 2022 Apr 21;17(4):e0266764. doi: 10.1371/journal.pone.0266764. eCollection 2022.
8
Effectiveness and impact of the 4CMenB vaccine against invasive serogroup B meningococcal disease and gonorrhoea in an infant, child, and adolescent programme: an observational cohort and case-control study.四价脑膜炎球菌结合疫苗对婴儿、儿童和青少年计划中侵袭性 B 群脑膜炎奈瑟菌疾病和淋病的有效性和影响:一项观察性队列和病例对照研究。
Lancet Infect Dis. 2022 Jul;22(7):1011-1020. doi: 10.1016/S1473-3099(21)00754-4. Epub 2022 Apr 12.
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Effectiveness of a serogroup B outer membrane vesicle meningococcal vaccine against gonorrhoea: a retrospective observational study.B 群脑膜炎球菌外膜囊泡疫苗预防淋病的效果:一项回顾性观察研究。
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Lancet Infect Dis. 2022 Jul;22(7):919-921. doi: 10.1016/S1473-3099(22)00002-0. Epub 2022 Apr 12.