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噬菌体疗法治疗耐药感染。

Bacteriophage therapy for drug-resistant infections.

机构信息

College of Public Health, Zhengzhou University, Zhengzhou, China.

Chinese PLA Center for Disease Control and Prevention, Beijing, China.

出版信息

Front Cell Infect Microbiol. 2024 Jan 31;14:1336821. doi: 10.3389/fcimb.2024.1336821. eCollection 2024.

Abstract

Drug-resistant stands as a prominent pathogen in nosocomial and community-acquired infections, capable of inciting various infections at different sites in patients. This includes bacteremia (SaB), which exhibits a severe infection frequently associated with significant mortality rate of approximately 25%. In the absence of better alternative therapies, antibiotics is still the main approach for treating infections. However, excessive use of antibiotics has, in turn, led to an increase in antimicrobial resistance. Hence, it is imperative that new strategies are developed to control drug-resistant infections. Bacteriophages are viruses with the ability to infect bacteria. Bacteriophages, were used to treat bacterial infections before the advent of antibiotics, but were subsequently replaced by antibiotics due to limited theoretical understanding and inefficient preparation processes at the time. Recently, phages have attracted the attention of many researchers again because of the serious problem of antibiotic resistance. This article provides a comprehensive overview of phage biology, animal models, diverse clinical case treatments, and clinical trials in the context of drug-resistant phage therapy. It also assesses the strengths and limitations of phage therapy and outlines the future prospects and research directions. This review is expected to offer valuable insights for researchers engaged in phage-based treatments for drug-resistant infections.

摘要

耐药菌是医院获得性和社区获得性感染的主要病原体,能够在患者的不同部位引发各种感染。这包括菌血症(SaB),它表现为一种严重的感染,常伴有约 25%的高死亡率。在没有更好的替代疗法的情况下,抗生素仍然是治疗感染的主要方法。然而,抗生素的过度使用反过来又导致了抗菌药物耐药性的增加。因此,开发新的策略来控制耐药菌感染至关重要。噬菌体是能够感染细菌的病毒。在抗生素出现之前,噬菌体曾被用于治疗细菌感染,但由于当时理论认识有限,制备工艺效率低下,随后被抗生素所取代。最近,由于抗生素耐药性这一严重问题,噬菌体再次引起了许多研究人员的关注。本文综述了噬菌体生物学、动物模型、多种临床病例治疗以及耐药噬菌体治疗的临床试验,评估了噬菌体治疗的优缺点,并概述了未来的前景和研究方向。本文的综述有望为从事基于噬菌体的耐药菌感染治疗的研究人员提供有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ab/10864608/6ec6b19d72d6/fcimb-14-1336821-g001.jpg

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