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Decolonization of asymptomatic carriage of multi-drug resistant bacteria by bacteriophages?

作者信息

Bonnet Mehdi, Eckert Catherine, Tournebize Régis

机构信息

Département de Bactériologie, Hôpital Saint-Antoine, AP-HP, Sorbonne Université, Paris, France.

Centre d'Immunologie et des Maladies Infectieuses, INSERM, U1135, Sorbonne Université, Paris, France.

出版信息

Front Microbiol. 2023 Nov 23;14:1266416. doi: 10.3389/fmicb.2023.1266416. eCollection 2023.


DOI:10.3389/fmicb.2023.1266416
PMID:38075897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10706009/
Abstract

Antimicrobial resistance is a major threat to human and animal health and accounted for up to 4.5 million deaths worldwide in 2019. Asymptomatic colonization of the digestive tract by multidrug resistant (multi-resistant) bacteria such as extended-spectrum beta-lactamase-, or carbapenemase- producing is (i) a risk factor for infection by these multi-resistant bacteria, (ii) a risk factor of dissemination of these multi-resistant bacteria among patients and in the community, and (iii) allows the exchange of resistance genes between bacteria. Hence, decolonization or reduction of the gastrointestinal tract colonization of these multi-resistant bacteria needs to be urgently explored. Developing new non-antibiotic strategies to limit or eradicate multi-resistant bacteria carriage without globally disrupting the microbiota is considered a priority to fight against antibiotic resistance. Probiotics or Fecal Microbiota Transplantation are alternative strategies to antibiotics that have been considered to decolonize intestinal tract from MDR bacteria but there is currently no evidence demonstrating their efficacy. Lytic bacteriophages are viruses that kill bacteria and therefore could be considered as a promising strategy to combat antibiotic resistance. Successful decolonization by bacteriophages has already been observed clinically. Here, we discuss the current alternative strategies considered to decolonize the digestive tract of multidrug resistant bacteria, briefly describing probiotics and fecal microbiota transplantation approaches, and then detail the and studies using bacteriophages, while discussing their limits regarding the animal models used, the characteristics of phages used and their activity in regards of the gut anatomy.

摘要

相似文献

[1]
Decolonization of asymptomatic carriage of multi-drug resistant bacteria by bacteriophages?

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[2]
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[3]
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[4]
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[6]
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[7]
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引用本文的文献

[1]
Harnessing the human gut microbiota: an emerging frontier in combatting multidrug-resistant bacteria.

Front Immunol. 2025-3-17

[2]
Cost-effectiveness of screening, decolonisation and isolation strategies for carbapenem-resistant Enterobacterales and methicillin-resistant infections in hospitals: a sex-stratified mathematical modelling study.

Lancet Reg Health Am. 2025-2-15

[3]
Extended-Spectrum Beta-Lactamase- and Plasmidic AmpC-Producing among the Faecal Samples in the Bulgarian Community.

Microorganisms. 2024-8-28

[4]
Gut resistome of NSCLC patients treated with immunotherapy.

Front Genet. 2024-8-7

[5]
Genomic Characterization of Multidrug-Resistant Pathogenic Enteric Bacteria from Healthy Children in Osun State, Nigeria.

Microorganisms. 2024-3-1

本文引用的文献

[1]
Faecalibacterium: a bacterial genus with promising human health applications.

FEMS Microbiol Rev. 2023-7-5

[2]
Phages against Noncapsulated Klebsiella pneumoniae: Broader Host range, Slower Resistance.

Microbiol Spectr. 2023-8-17

[3]
Modulation of the Gut Microbiota to Control Antimicrobial Resistance (AMR)-A Narrative Review with a Focus on Faecal Microbiota Transplantation (FMT).

Infect Dis Rep. 2023-5-9

[4]
Phage-encoded carbohydrate-interacting proteins in the human gut.

Front Microbiol. 2023-1-6

[5]
Intestinal colonization with multidrug-resistant Enterobacterales: screening, epidemiology, clinical impact, and strategies to decolonize carriers.

Eur J Clin Microbiol Infect Dis. 2023-3

[6]
The role of the animal host in the management of bacteriophage resistance during phage therapy.

Curr Opin Virol. 2023-2

[7]
Global Prevalence of Colistin Resistance in from Bloodstream Infection: A Systematic Review and Meta-Analysis.

Pathogens. 2022-9-24

[8]
The Safety and Efficacy of Phage Therapy: A Systematic Review of Clinical and Safety Trials.

Antibiotics (Basel). 2022-9-30

[9]
Klebsiella pneumoniae l-Fucose Metabolism Promotes Gastrointestinal Colonization and Modulates Its Virulence Determinants.

Infect Immun. 2022-10-20

[10]
Decolonization of carbapenem-resistant from the intestinal microbiota of model mice by phages targeting two surface structures.

Front Microbiol. 2022-8-22

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