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针对……的新型治疗方案:一项最新的系统评价

Novel therapeutic regimens against : an updated systematic review.

作者信息

Huang Ting-Ting, Cao Yong-Xiao, Cao Lei

机构信息

Department of Pharmacology, School of Basic Medical Science, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China.

Precision Medical Institute, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

出版信息

Front Microbiol. 2024 Jun 7;15:1418129. doi: 10.3389/fmicb.2024.1418129. eCollection 2024.

Abstract

() is a strict microaerophilic bacterial species that exists in the stomach, and infection is one of the most common chronic bacterial infections affecting humans. Eradicating is the preferred method for the long-term prevention of complications such as chronic gastritis, peptic ulcers, gastric mucosa-associated lymphoid tissue lymphoma, and gastric cancer. However, first-line treatment with triple therapy and quadruple therapy has been unable to cope with increasing antibacterial resistance. To provide an updated review of infections and antibacterial resistance, as well as related treatment options, we searched PubMed for articles published until March 2024. The key search terms were "", " infection", " diseases", " eradication", and " antibacterial resistance." Despite the use of antimicrobial agents, the annual decline in the eradication rate of continues. Emerging eradication therapies, such as the development of the new strong acid blocker vonoprazan, probiotic adjuvant therapy, and vaccine therapy, are exciting. However, the effectiveness of these treatments needs to be further evaluated. It is worth mentioning that the idea of altering the oxygen environment in gastric juice for to not be able to survive is a hot topic that should be considered in new eradication plans. Various strategies for eradicating , including antibacterials, vaccines, probiotics, and biomaterials, are continuously evolving. A novel approach involving the alteration of the oxygen concentration within the growth environment of has emerged as a promising eradication strategy.

摘要

(幽门螺杆菌)是一种严格的微需氧细菌,存在于胃中,幽门螺杆菌感染是影响人类的最常见慢性细菌感染之一。根除幽门螺杆菌是长期预防慢性胃炎、消化性溃疡、胃黏膜相关淋巴组织淋巴瘤和胃癌等并发症的首选方法。然而,一线的三联疗法和四联疗法已无法应对日益增加的抗菌耐药性。为了提供关于幽门螺杆菌感染和抗菌耐药性以及相关治疗选择的最新综述,我们在PubMed上搜索了截至2024年3月发表的文章。关键搜索词为“幽门螺杆菌”、“幽门螺杆菌感染”、“疾病”、“根除”和“抗菌耐药性”。尽管使用了抗菌药物,但幽门螺杆菌根除率仍在逐年下降。新兴的根除疗法,如新的强效酸阻滞剂沃克拉唑的研发、益生菌辅助疗法和幽门螺杆菌疫苗疗法,令人振奋。然而,这些治疗方法的有效性需要进一步评估。值得一提的是,改变胃液中的氧气环境以使幽门螺杆菌无法存活这一想法是新的根除计划中应考虑的热门话题。根除幽门螺杆菌的各种策略,包括抗菌药物、疫苗、益生菌和生物材料,都在不断发展。一种涉及改变幽门螺杆菌生长环境中氧气浓度的新方法已成为一种有前景的根除策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e0e/11190606/42d1f8549802/fmicb-15-1418129-g001.jpg

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