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从抗生素耐药到抗生素复兴:幽门螺杆菌治疗的新时代

From Antibiotic Resistance to Antibiotic Renaissance: A New Era in Helicobacter pylori Treatment.

作者信息

Godavarthy Prabhav Kashyap, Puli Chandra

机构信息

Medicine, Mamata Academy of Medical Sciences, Hyderabad, IND.

Gastroenterology and Hepatology, London Gastro Care, Hyderabad, IND.

出版信息

Cureus. 2023 Mar 12;15(3):e36041. doi: 10.7759/cureus.36041. eCollection 2023 Mar.

Abstract

() is a common bacterial infection that can cause gastric diseases, including gastric cancer. The standard treatment for infection is a combination of antibiotics and acid suppressants, but antibiotic resistance has become a significant problem that can reduce treatment efficacy. The development of novel treatment strategies for is necessary to reduce the burden of this infection on public health. This review article examines  antibiotic resistance and future treatment possibilities. We discuss transitioning from trial and error to antimicrobial stewardship and using multi-strain probiotics as an adjunct therapy for eradication. This review article provides an extensive overview of antibiotic resistance and future treatment possibilities. It begins with an introduction and background of the topic, followed by a literature review. The review of the literature covers the transition from trial and error to antimicrobial stewardship, the diagnosis and treatment of , the comparative effectiveness of multiple first-line treatment regimens, the ideal treatment for the present and future, the use of probiotics to reduce adverse events and improve eradication rates, and the use of novel and effective therapeutic regimens in an era of increasing antibiotic resistance. The conclusion summarizes the review's findings and provides recommendations for future research. The terms , infection, antibiotic resistance, clarithromycin, macrolide resistance, proton pump inhibitors, vonoprazan, triple regimen, susceptibility, and stewardship were used in a PubMed literature search. Finally, the article highlights the urgent need for a global collaborative approach toward tackling antibiotic resistance in infections.

摘要

()是一种常见的细菌感染,可导致胃部疾病,包括胃癌。针对该感染的标准治疗方法是抗生素与抑酸剂联合使用,但抗生素耐药性已成为一个严重问题,可能会降低治疗效果。开发针对()的新型治疗策略对于减轻这种感染对公共卫生的负担至关重要。这篇综述文章探讨了()的抗生素耐药性及未来的治疗可能性。我们讨论了从试错法向抗菌药物管理的转变,以及使用多菌株益生菌作为根除()的辅助疗法。这篇综述文章全面概述了()的抗生素耐药性及未来的治疗可能性。文章开篇介绍了该主题的背景,随后进行了文献综述。文献综述涵盖了从试错法向抗菌药物管理的转变、()的诊断与治疗、多种一线治疗方案的比较有效性、当前及未来理想的()治疗方法、使用益生菌减少不良事件并提高根除率,以及在抗生素耐药性不断增加的时代使用新型有效治疗方案。结论总结了综述的研究结果,并为未来研究提供了建议。在PubMed文献检索中使用了()、感染、抗生素耐药性、克拉霉素、大环内酯类耐药性、质子泵抑制剂、沃克哌唑、三联疗法、敏感性和管理等术语。最后,文章强调了全球协作应对()感染中抗生素耐药性问题的迫切需求。

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