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水凝胶在皮肤感染中的医学应用:综述

Medical Applications of Hydrogels in Skin Infections: A Review.

作者信息

Teng Yan, Li Sujing, Tang Hui, Tao Xiaohua, Fan Yibin, Huang Youming

机构信息

Center for Plastic & Reconstructive Surgery, Department of Dermatology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital of Hangzhou Medical College, Hangzhou, 310014, People's Republic of China.

Graduate School of Clinical Medicine, Bengbu Medical College, Bengbu, 233030, People's Republic of China.

出版信息

Infect Drug Resist. 2023 Jan 23;16:391-401. doi: 10.2147/IDR.S396990. eCollection 2023.

Abstract

Skin infections are common diseases for which patients seek inpatient and outpatient medical care. Globally, an increasing number of people are affected by skin infections that could lead to physical and psychological damage. Skin infections always have a broad spectrum of clinical presentations that require physicians to make an aggressive and accurate diagnosis for prescribing the proper symptomatic antimicrobials. In most instances, the treatment for skin infections mainly includes oral or topical anti-infective drugs. However, some of the classical anti-infective drugs have limitations, such as poor water solubility, low bioavailability, and poor targeting efficiency, which can lead to poor efficacy, adverse effects, and drug resistance. Therefore, research priorities should focus on the development of more effective drug delivery systems with new materials. Hydrogels are a highly multifunctional class of medical materials with potential applications in dermatology. Several hydrogel dressings with anti-infective functions have been formulated and demonstrated to improve the efficacy and tolerance of oral or topical classical anti-infective drugs to a certain degree. In this study, the medical applications of hydrogels for the treatment of various skin infections are systematically reviewed to provide an important theoretical reference for future research studies on the treatment options for skin infections.

摘要

皮肤感染是患者寻求住院和门诊医疗护理的常见疾病。在全球范围内,越来越多的人受到可能导致身体和心理损害的皮肤感染影响。皮肤感染总是具有广泛的临床表现,这就要求医生进行积极准确的诊断,以便开出合适的对症抗菌药物。在大多数情况下,皮肤感染的治疗主要包括口服或外用抗感染药物。然而,一些传统的抗感染药物存在局限性,如水溶性差、生物利用度低和靶向效率低,这可能导致疗效不佳、不良反应和耐药性。因此,研究重点应放在开发具有新材料的更有效药物递送系统上。水凝胶是一类具有高度多功能性的医用材料,在皮肤病学中有潜在应用。几种具有抗感染功能的水凝胶敷料已经被研制出来,并被证明在一定程度上提高了口服或外用传统抗感染药物的疗效和耐受性。在本研究中,系统综述了水凝胶在治疗各种皮肤感染中的医学应用,为未来皮肤感染治疗方案的研究提供重要的理论参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c83/9882970/cb4232c47a17/IDR-16-391-g0001.jpg

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