Fortaleza Jamil Allen G, Ong Christian Joseph N, De Jesus Rener
1Senior High School Department, NU Fairview Incorporated, Quezon City, 1118, Philippines.
2National University, Philippines, Sampaloc, Manila, 1008, Philippines.
Eur J Microbiol Immunol (Bp). 2024 Feb 2;14(1):13-25. doi: 10.1556/1886.2023.00064. Print 2024 Feb 23.
Staphylococcus aureus infections have already presented a substantial public health challenge, encompassing different clinical manifestations, ranging from bacteremia to sepsis and multi-organ failures. Among these infections, methicillin-resistant S. aureus (MRSA) is particularly alarming due to its well-documented resistance to multiple classes of antibiotics, contributing significantly to global mortality rates. Consequently, the urgent need for effective treatment options has prompted a growing interest in exploring phage therapy as a potential non-antibiotic treatment against MRSA infections. Phages represent a class of highly specific bacterial viruses known for their ability to infect certain bacterial strains. This review paper explores the clinical potential of phages as a treatment for MRSA infections due to their low toxicity and auto-dosing capabilities. The paper also discusses the synergistic effect of phage-antibiotic combination (PAC) and the promising results from in vitro and animal model studies, which could lead to extensive human clinical trials. However, clinicians need to establish and adhere to standard protocols governing phage administration and implementation. Prominent clinical trials are needed to develop and advance phage therapy as a non-antibiotic therapy intervention, meeting regulatory guidelines, logistical requirements, and ethical considerations, potentially revolutionizing the treatment of MRSA infections.
金黄色葡萄球菌感染已经构成了重大的公共卫生挑战,涵盖了从菌血症到败血症以及多器官功能衰竭等不同的临床表现。在这些感染中,耐甲氧西林金黄色葡萄球菌(MRSA)尤其令人担忧,因为其对多类抗生素的耐药性已得到充分证实,这对全球死亡率有重大影响。因此,对有效治疗方案的迫切需求促使人们越来越关注探索噬菌体疗法,将其作为一种针对MRSA感染的潜在非抗生素治疗方法。噬菌体是一类高度特异性的细菌病毒,以其感染某些细菌菌株的能力而闻名。这篇综述文章探讨了噬菌体作为MRSA感染治疗方法的临床潜力,因其毒性低和自动给药能力。文章还讨论了噬菌体 - 抗生素联合使用(PAC)的协同效应以及体外和动物模型研究的有前景的结果,这可能会导致广泛的人体临床试验。然而,临床医生需要建立并遵守关于噬菌体给药和实施的标准方案。需要开展突出的临床试验,以开发和推进噬菌体疗法作为一种非抗生素治疗干预措施,满足监管指南、后勤要求和伦理考量,这有可能彻底改变MRSA感染的治疗方式。