Department of Microbiology and Immunology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
Tuberculosis and Pulmonary Research Department, Pasteur Institute of Iran, Tehran, Iran.
Folia Microbiol (Praha). 2023 Jun;68(3):357-368. doi: 10.1007/s12223-023-01046-y. Epub 2023 Apr 10.
Klebsiella spp. is a commensal gram-negative bacterium and a member of the human microbiota. It is the leading cause of various hospital-acquired infections. The occurrence of multi-drug drug resistance and carbapenemase-producing strains of Klebsiella pneumoniae producing weighty contaminations is growing, and Klebsiella oxytoca is an arising bacterium. Alternative approaches to tackle contaminations led by these microorganisms are necessary as strains enhance opposing to last-stage antibiotics in the way that Colistin. The lytic bacteriophages are viruses that infect and rapidly eradicate bacterial cells and are strain-specific to their hosts. They and their proteins are immediately deliberate as opportunities or adjuncts to antibiotic therapy. There are several reports in vitro and in vivo form that proved the potential use of lytic phages to combat superbug stains of K. pneumoniae. Various reports dedicated that the phage area can be returned to the elimination of multi-drug resistance and carbapenemase resistance isolates of K. pneumoniae. This review compiles our current information on phages of Klebsiella spp. and highlights technological and biological issues related to the evolution of phage-based therapies targeting these bacterial hosts.
肺炎克雷伯菌是一种共生的革兰氏阴性菌,也是人类微生物群的一员。它是导致各种医院获得性感染的主要原因。产超广谱β-内酰胺酶和碳青霉烯酶的肺炎克雷伯菌耐药株的出现,以及产黏菌素的产酸克雷伯菌的出现,使得对这些微生物引起的污染采取替代方法变得必要。由于这些菌株以类似于多粘菌素的方式对最后阶段的抗生素产生抗性,因此需要对它们进行处理。裂解噬菌体是感染并迅速消灭细菌细胞的病毒,并且对其宿主具有特异性。它们及其蛋白被立即视为抗生素治疗的机会或辅助手段。有几篇体外和体内的报告证明了裂解噬菌体在对抗超级细菌的肺炎克雷伯菌菌株方面的潜在用途。各种报告表明,噬菌体领域可以恢复消除多药耐药和碳青霉烯酶耐药的肺炎克雷伯菌分离株。本综述总结了我们目前关于肺炎克雷伯菌噬菌体的信息,并强调了与针对这些细菌宿主的噬菌体为基础的治疗方法的发展相关的技术和生物学问题。