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布鲁里溃疡管理策略的最新进展

Recent Advances in the Management Strategies for Buruli Ulcers.

作者信息

Popa Gabriela Loredana, Muntean Alexandru Andrei, Popa Mircea Ioan

机构信息

Department of Microbiology, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Colentina Clinical Hospital, 020125 Bucharest, Romania.

出版信息

Pathogens. 2023 Aug 27;12(9):1088. doi: 10.3390/pathogens12091088.

DOI:10.3390/pathogens12091088
PMID:37764896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10538148/
Abstract

Buruli ulcer (BU) is a bacterial skin infection that is caused by and mainly affects people who reside in the rural areas of Africa and in suburban and beach resort communities in Australia. The infection typically begins as a painless papule or nodule that gradually develops into a large ulcer that can cause substantial impairment, damaging soft tissues and even bones. Early detection and immediate treatment are crucial to preventing further tissue damage and any potential complications, although it is worth noting that access to proper therapeutic resources can be limited in certain areas. The most commonly used antibiotics for treating BU are rifampicin, streptomycin, and clarithromycin; efforts have recently been made to introduce new treatments that increase the effectiveness and adherence to therapy. This article presents the latest research and management strategies regarding BU, providing an updated and intriguing perspective on this topic.

摘要

布鲁里溃疡是一种由细菌引起的皮肤感染,主要影响居住在非洲农村地区以及澳大利亚郊区和海滩度假社区的人群。感染通常始于无痛丘疹或结节,随后逐渐发展成大溃疡,可导致严重损伤,损害软组织甚至骨骼。早期发现和立即治疗对于防止进一步的组织损伤和任何潜在并发症至关重要,不过值得注意的是,在某些地区,获得适当治疗资源的机会可能有限。治疗布鲁里溃疡最常用的抗生素是利福平、链霉素和克拉霉素;最近已努力引入能提高治疗效果和依从性的新疗法。本文介绍了有关布鲁里溃疡的最新研究和管理策略,提供了关于该主题的最新且引人入胜的观点。

相似文献

1
Recent Advances in the Management Strategies for Buruli Ulcers.布鲁里溃疡管理策略的最新进展
Pathogens. 2023 Aug 27;12(9):1088. doi: 10.3390/pathogens12091088.
2
Drugs for treating Buruli ulcer (Mycobacterium ulcerans disease).治疗布鲁里溃疡(溃疡分枝杆菌病)的药物。
Cochrane Database Syst Rev. 2018 Aug 23;8(8):CD012118. doi: 10.1002/14651858.CD012118.pub2.
3
Microbiology of secondary infections in Buruli ulcer lesions; implications for therapeutic interventions.布鲁里溃疡病变中继发感染的微生物学;对治疗干预的影响。
BMC Microbiol. 2021 Jan 5;21(1):4. doi: 10.1186/s12866-020-02070-5.
4
Effectiveness of rifampicin-streptomycin for treatment of Buruli ulcer: a systematic review.利福平-链霉素治疗皮肤溃疡分枝杆菌感染的疗效:一项系统评价
JBI Database System Rev Implement Rep. 2017 Jan;15(1):119-139. doi: 10.11124/JBISRIR-2016-003235.
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Screening of Isocitrate Lyase for Novel Anti-Buruli Ulcer Natural Products Originating from Africa.筛选异柠檬酸裂解酶寻找新型非洲来源抗麻风天然产物。
Molecules. 2018 Jun 27;23(7):1550. doi: 10.3390/molecules23071550.
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Mycobacterium ulcerans infection.溃疡分枝杆菌感染
Lancet. 1999 Sep 18;354(9183):1013-8. doi: 10.1016/S0140-6736(99)01156-3.
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Exploration of a standard treatment for Buruli ulcer through a comprehensive analysis of all cases diagnosed in Japan.通过对日本所有确诊病例的综合分析探索布鲁里溃疡的标准治疗方法。
J Dermatol. 2015 Jun;42(6):588-95. doi: 10.1111/1346-8138.12851. Epub 2015 Mar 26.
8
Pharmacologic management of infection.感染的药物治疗管理。
Expert Rev Clin Pharmacol. 2020 Apr;13(4):391-401. doi: 10.1080/17512433.2020.1752663. Epub 2020 Apr 20.
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Clinical outcomes of Ghanaian Buruli ulcer patients who defaulted from antimicrobial therapy.未完成抗菌治疗的加纳布鲁里溃疡患者的临床结局
Trop Med Int Health. 2016 Sep;21(9):1191-6. doi: 10.1111/tmi.12745. Epub 2016 Jul 26.
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Antimicrobial treatment for early, limited Mycobacterium ulcerans infection: a randomised controlled trial.早期、局限性溃疡分枝杆菌感染的抗菌治疗:一项随机对照试验。
Lancet. 2010 Feb 20;375(9715):664-72. doi: 10.1016/S0140-6736(09)61962-0. Epub 2010 Feb 3.

引用本文的文献

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Ulcer: Current Trends in Antimicrobial Management and Reconstructive Surgical Strategies.溃疡:抗菌管理与重建手术策略的当前趋势
Life (Basel). 2025 Jul 13;15(7):1096. doi: 10.3390/life15071096.
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Formulation and Stability of a 1% Clarithromycin-Based Topical Skin Cream: A New Option to Treat Buruli Ulcers?1% 克拉霉素外用乳膏的配方与稳定性:治疗布鲁里溃疡的新选择?
Pharmaceuticals (Basel). 2024 May 27;17(6):691. doi: 10.3390/ph17060691.

本文引用的文献

1
Buruli ulcer - A neglected tropical disease in the Barwon region of Victoria, Australia: An emerging public health threat with local and national ramifications.澳大利亚维多利亚州巴旺地区被忽视的热带病- 溃疡:具有地方和全国影响的新兴公共卫生威胁。
Emerg Med Australas. 2023 Aug;35(4):697-701. doi: 10.1111/1742-6723.14235. Epub 2023 May 4.
2
Changes in Inflammatory Markers in Patients Treated for Buruli Ulcer and Their Ability to Predict Paradoxical Reactions.接受抗布鲁里溃疡治疗的患者的炎症标志物变化及其预测矛盾反应的能力。
J Infect Dis. 2023 Nov 28;228(11):1630-1639. doi: 10.1093/infdis/jiad176.
3
Buruli Ulcer and Medical Geo-Microbiology.布鲁里溃疡与医学地理微生物学
Infect Drug Resist. 2022 Nov 25;15:6811-6814. doi: 10.2147/IDR.S388005. eCollection 2022.
4
A combined effort of 11 laboratories in the WHO African region to improve quality of Buruli ulcer PCR diagnosis: The "BU-LABNET".世卫组织非洲区域 11 个实验室联合努力提高布鲁里溃疡 PCR 诊断质量:“BU-LABNET”。
PLoS Negl Trop Dis. 2022 Nov 4;16(11):e0010908. doi: 10.1371/journal.pntd.0010908. eCollection 2022 Nov.
5
Membrane Active Immunomodulator As a Novel Therapy for an Infectious Bacterial Disease, Buruli Ulcer.膜活性免疫调节剂作为一种治疗感染性细菌病——布鲁里溃疡的新疗法。
In Vivo. 2022 Nov-Dec;36(6):2615-2629. doi: 10.21873/invivo.12996.
6
Therapeutic efficacy of rifalazil (KRM-1648) in a M. ulcerans-induced Buruli ulcer mouse model.利福拉齐(KRM-1648)在溃疡分枝杆菌诱导的兔热病模型中的治疗效果。
PLoS One. 2022 Oct 6;17(10):e0274742. doi: 10.1371/journal.pone.0274742. eCollection 2022.
7
Nutritional status and wound healing in patients with Mycobacterium ulcerans disease (Buruli ulcer): a pilot study from rural Côte d’Ivoire.类鼻疽伯克霍尔德菌病(简称布路里溃疡)患者的营养状况与伤口愈合:来自科特迪瓦农村的一项初步研究。
Eur J Dermatol. 2022 Apr 1;32(2):227-236. doi: 10.1684/ejd.2022.4225.
8
Comparison of 8 weeks standard treatment (rifampicin plus clarithromycin) vs. 4 weeks standard plus amoxicillin/clavulanate treatment [RC8 vs. RCA4] to shorten Buruli ulcer disease therapy (the BLMs4BU trial): study protocol for a randomized controlled multi-centre trial in Benin.8 周标准治疗(利福平加克拉霉素)与 4 周标准治疗加阿莫西林/克拉维酸治疗缩短伯氏疏螺旋体溃疡病疗程的比较 [RC8 与 RCA4](BLMs4BU 试验):贝宁多中心随机对照试验研究方案。
Trials. 2022 Jul 8;23(1):559. doi: 10.1186/s13063-022-06473-9.
9
Development of an antibiotics delivery system for topical treatment of the neglected tropical disease Buruli ulcer.开发一种用于局部治疗被忽视热带病布鲁里溃疡的抗生素递送系统。
Int J Pharm. 2022 Jul 25;623:121954. doi: 10.1016/j.ijpharm.2022.121954. Epub 2022 Jun 24.
10
Picturing health: Buruli ulcer in Ghana.描绘健康:加纳的布鲁里溃疡。
Lancet. 2022 Feb 26;399(10327):786-797. doi: 10.1016/S0140-6736(22)00157-X. Epub 2022 Jan 28.